Alfa Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

19752-84480 Issued in IL

Legal business name

ALFA MEDICAL SUPPLY INC

Practice address

250 E Saint Charles Rd
Suite 5
Villa Park, IL 60181-2472

Phone

(630) 279-4441

Fax

(630) 279-4449

NPI assigned

Jan 22, 2009

Last updated

Jan 22, 2009By 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

Shahid Khawaja

Title

President

Phone

(630) 279-4441

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1376781880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E SAINT CHARLES RD",
            "address_2": "SUITE 5",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601812472",
            "telephone_number": "630-279-4441",
            "fax_number": "630-279-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 E SAINT CHARLES RD",
            "address_2": "SUITE 5",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601812472",
            "telephone_number": "630-279-4441",
            "fax_number": "630-279-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALFA MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-22",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "KHAWAJA",
        "authorized_official_first_name": "SHAHID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-279-4441"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "19752-84480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Villa Park, IL
• Providers in Villa Park, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; 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.