Active NPI
Melrose Medical Supply Company, LLC
- Durable Medical Equipment & Medical Supplies
- Melrose Park, IL
National Provider Identifier
1376985929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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, 2013
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.