Organization Active NPI

Buckingham Pavilion Inc

  • Oxygen Equipment & Supplies (DME)
  • Chicago, IL
National Provider Identifier
1427814029
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
BUCKINGHAM PAVILION INC
Practice address
2625 W Touhy Ave
Chicago, IL 60645-3109
Phone
(773) 973-5333
NPI assigned
Feb 22, 2024
Last updated
Feb 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Authorized official

Name
Elvira Zlatopolsky
Title
Bookkeepper
Phone
(773) 973-5333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

2625 W Touhy Ave
Chicago, IL 60645-3109

Mailing address

2625 W Touhy Ave
Chicago, IL 60645-3109

Other names 1

  • buckingham pavilion inc Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1708560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708560000000",
    "number": "1427814029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 W TOUHY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606453109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 W TOUHY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606453109",
            "telephone_number": "773-973-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKINGHAM PAVILION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-22",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A",
        "authorized_official_last_name": "ZLATOPOLSKY",
        "authorized_official_first_name": "ELVIRA",
        "authorized_official_title_or_position": "BOOKKEEPPER",
        "authorized_official_telephone_number": "773-973-5333"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "buckingham pavilion inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.