NPIMap

Organization Active NPI

US Medical Supplies Inc

  • Durable Medical Equipment & Medical Supplies
  • Chicago, IL
National Provider Identifier
1467558205
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
203.000598 Issued in IL
Legal business name
US MEDICAL SUPPLIES INC
Practice address
6017 N California Ave
Suite a
Chicago, IL 60659-3925
Phone
(773) 764-2000
NPI assigned
Sep 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2014

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

Authorized official

Name
Ahaji Amos
Title
Owner/President
Phone
(773) 764-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 203.000598 IL Primary

Addresses

Primary practice location

6017 N California Ave
Suite a
Chicago, IL 60659-3925

Mailing address

6017 N California Ave
Suite a
Chicago, IL 60659-3925
Phone (773) 764-2000

Other identifiers 1

IdentifierTypeStateIssuer
5249080001OtherILPTAN

National Provider Directory

National Provider Directory

Locations

6017 N California Ave
Ste A
Chicago, IL 60659
Phone (773) 764-2000

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415577600000",
    "number": "1467558205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6017 N CALIFORNIA AVE",
            "address_2": "SUITE A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593925",
            "telephone_number": "773-764-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6017 N CALIFORNIA AVE",
            "address_2": "SUITE A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593925",
            "telephone_number": "773-764-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US MEDICAL SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2014-11-10",
        "status": "A",
        "authorized_official_last_name": "AMOS",
        "authorized_official_first_name": "AHAJI",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "773-764-2000"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "203.000598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "5249080001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Nov 10, 2014; 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.