Allure of Mendota, LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

ALLURE OF MENDOTA, LLC

Practice address

1201 1St Ave
Mendota, IL 61342-1815

Phone

(815) 539-6745

NPI assigned

Jun 6, 2023

Last updated

Aug 31, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Nudell

Title

Vice President

Phone

(773) 338-4400

Specialties & licenses 1

Addresses

Tax ID family

Allure of Mendota2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Allure of Mendota, LLC

  • Skilled Nursing Facility
  • Mendota, IL
  • NPI 1053007443
  NPD tax ID

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1376237933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 W HOWARD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606451303",
            "telephone_number": "773-338-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 1ST AVE",
            "city": "MENDOTA",
            "state": "IL",
            "postal_code": "613421815",
            "telephone_number": "815-539-6745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLURE OF MENDOTA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "NUDELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "773-338-4400"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allure of Mendota, LLC
• American Lutheran Church Mendota (Mendota Lutheran Home)
• Associated Physicians, SC
• Abdul Moyeed Atif, PHARMD
• Richard Jospeh Baker
• Balanced Family Chiropractic LTD

• Oxygen Equipment & Supplies (DME) in Mendota, IL
• Providers in Mendota, IL by specialty
• Oxygen Equipment & Supplies (DME) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.