Avmed Surgical Supply, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1195956 Issued in IL

Legal business name

AVMED SURGICAL SUPPLY, INC

Practice address

8802 W Dempster
Niles, IL 60714-3097

Phone

(847) 635-8900

Fax

(847) 635-8901

NPI assigned

Aug 19, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Shaheen Nadeem

Title

Owner

Phone

(844) 635-8900

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479686400000",
    "number": "1376657791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8802 W DEMPSTER",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143097",
            "telephone_number": "847-635-8900",
            "fax_number": "847-635-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8802 W DEMPSTER",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143097",
            "telephone_number": "847-635-8900",
            "fax_number": "847-635-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVMED SURGICAL SUPPLY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2016-11-21",
        "status": "A",
        "authorized_official_last_name": "NADEEM",
        "authorized_official_first_name": "SHAHEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "844-635-8900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "1195956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Niles, IL
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; 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.