Organization Active NPI

Enhanced Medical Supplies Co

  • Durable Medical Equipment & Medical Supplies
  • Mundelein, IL
National Provider Identifier
1417904467
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ENHANCED MEDICAL SUPPLIES CO
Practice address
300 N Seymour Ave
Suite E
Mundelein, IL 60060-2343
Phone
(847) 837-1800
Fax
(847) 837-1888
NPI assigned
May 27, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Antonio Rosales
Title
Owner
Phone
(847) 837-1800

Specialties & licenses 1

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

Addresses

Primary practice location

300 N Seymour Ave
Suite E
Mundelein, IL 60060-2343

Mailing address

300 N Seymour Ave
Suite E
Mundelein, IL 60060-2343
Phone (847) 837-1800

National Provider Directory

National Provider Directory

Locations

300 N Seymour Ave
Ste E
Mundelein, IL 60060
Phone (847) 837-1800

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417904467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N SEYMOUR AVE",
            "address_2": "SUITE E",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600602343",
            "telephone_number": "847-837-1800",
            "fax_number": "847-837-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N SEYMOUR AVE",
            "address_2": "SUITE E",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600602343",
            "telephone_number": "847-837-1800",
            "fax_number": "847-837-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENHANCED MEDICAL SUPPLIES CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSALES",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-837-1800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mundelein, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.