Abc Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

203.000498 Issued in IL

Legal business name

ABC MEDICAL SUPPLY INC

Practice address

19 E Northwest Hwy
Suite 3C
Palatine, IL 60067-3500

Phone

(847) 221-5877

Fax

(847) 221-5876

NPI assigned

Nov 1, 2006

Last updated

Apr 26, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Simon Boriskin

Title

President

Phone

(847) 221-5877

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303776000000",
    "number": "1487732939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 E NORTHWEST HWY",
            "address_2": "SUITE 3C",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600673500",
            "telephone_number": "847-221-5877",
            "fax_number": "847-221-5876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 E NORTHWEST HWY",
            "address_2": "SUITE 3C",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600673500",
            "telephone_number": "847-221-5877",
            "fax_number": "847-221-5876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2011-04-26",
        "status": "A",
        "authorized_official_last_name": "BORISKIN",
        "authorized_official_first_name": "SIMON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-221-5877",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "203.000498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Palatine, IL
• Providers in Palatine, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; 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.