Country Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

COUNTRY MEDICAL SUPPLY INC

Practice address

1501 W Dundee Rd
Suite 107
Buffalo Grove, IL 60089-4006

Phone

(847) 454-1300

Fax

(847) 454-1301

NPI assigned

Jul 27, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Irina Muchnik

Title

Owner

Phone

(847) 454-1300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427072180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 W DUNDEE RD",
            "address_2": "SUITE 107",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600894006",
            "telephone_number": "847-454-1300",
            "fax_number": "847-454-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 W DUNDEE RD",
            "address_2": "SUITE 107",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600894006",
            "telephone_number": "847-454-1300",
            "fax_number": "847-454-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MUCHNIK",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-454-1300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Buffalo Grove, IL
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• Durable Medical Equipment & Medical Supplies in Illinois

• 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.