Organization Active NPI

Melrose Medical Supply Company, LLC

  • Durable Medical Equipment & Medical Supplies
  • Melrose Park, IL
National Provider Identifier
1376985929
Registry record updated Jul 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MELROSE MEDICAL SUPPLY COMPANY, LLC
Practice address
1811 N 19TH Ave
Melrose Park, IL 60160-2025
Phone
(312) 860-3273
NPI assigned
Jul 24, 2013
Last updated
Jul 24, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2013

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

Authorized official

Name
Mrs. Beth Ann Swetland-Pilati, O.D.
Title
Manager
Phone
(312) 860-3273

Specialties & licenses 1

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

Addresses

Primary practice location

1811 N 19TH Ave
Melrose Park, IL 60160-2025

Mailing address

1701 Walton St
Melrose Park, IL 60160-3433
Phone (312) 860-3273

National Provider Directory

National Provider Directory

Locations

1811 N 19th Ave
Melrose Park, IL 60160
Phone (224) 345-8483

NPI Registry JSON

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374624000000",
    "number": "1376985929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 WALTON ST",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601603433",
            "telephone_number": "312-860-3273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 N 19TH AVE",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601602025",
            "telephone_number": "312-860-3273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELROSE MEDICAL SUPPLY COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-24",
        "last_updated": "2013-07-24",
        "status": "A",
        "authorized_official_last_name": "SWETLAND-PILATI",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "312-860-3273",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melrose Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; 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.