Active NPI
Superior Rehabmed Supplies Inc
- Parenteral & Enteral Nutrition Supplies (DME)
- Bloomingdale, IL
National Provider Identifier
1437668076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Parenteral & Enteral Nutrition Supplies (DME)
- Legal business name
- SUPERIOR REHABMED SUPPLIES INC
- Practice address
- 303 E Army Trail Rd Ste 204
Bloomingdale, IL 60108-2143 - Phone
- (630) 542-5599
- NPI assigned
- Sep 27, 2017
- 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
- Mustafa Jabri
- Title
- Owner
- Phone
- (630) 542-5599
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | Primary |
Addresses
Primary practice location
303 E Army Trail Rd Ste 204
Bloomingdale, IL 60108-2143
Mailing address
303 E Army Trail Rd Ste 204
Bloomingdale, IL 60108-2143
Phone (630) 542-5599
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506470400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1437668076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 E ARMY TRAIL RD STE 204",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601082143",
"telephone_number": "630-542-5599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 E ARMY TRAIL RD STE 204",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601082143",
"telephone_number": "630-542-5599"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPERIOR REHABMED SUPPLIES INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-27",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "JABRI",
"authorized_official_first_name": "MUSTAFA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "630-542-5599"
},
"taxonomies": [
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomingdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.