NPIMap

Organization Active NPI

Abl Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • Chicago, IL
National Provider Identifier
1356663918
Registry record updated Aug 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ABL MEDICAL SUPPLIES
Practice address
1420 N Western Ave
Chicago, IL 60622-8306
Phone
(773) 590-2121
Fax
(773) 278-2797
NPI assigned
Feb 24, 2010
Last updated
Aug 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Leo M Badillo
Title
Owner
Phone
(773) 590-2121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

1420 N Western Ave
Chicago, IL 60622-8306

Mailing address

1420 N Western Ave
Chicago, IL 60622-8306
Phone (773) 590-2121

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314230400000",
    "number": "1356663918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606228306",
            "telephone_number": "773-590-2121",
            "fax_number": "773-278-2797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606228306",
            "telephone_number": "773-590-2121",
            "fax_number": "773-278-2797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABL MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-24",
        "last_updated": "2011-08-25",
        "status": "A",
        "authorized_official_last_name": "BADILLO",
        "authorized_official_first_name": "LEO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "17735902121",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.