Active NPI
Medirect, LLC
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
National Provider Identifier
1487995767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MEDIRECT, LLC
- Practice address
- 5833 N Lansing Ave
Chicago, IL 60646-5646 - Phone
- (855) 662-7882
- Fax
- (855) 662-7882
- NPI assigned
- Mar 11, 2013
- 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
- Mr. Daniel N Hanley
- Title
- President
- Phone
- (773) 715-6258
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
5833 N Lansing Ave
Chicago, IL 60646-5646
Mailing address
5833 N Lansing Ave
Chicago, IL 60646-5646
Phone (855) 662-7882
Other names 1
- ekneewalker
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362960000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1362960000000",
"number": "1487995767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5833 N LANSING AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606465646",
"telephone_number": "855-662-7882",
"fax_number": "855-662-7882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5833 N LANSING AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606465646",
"telephone_number": "855-662-7882",
"fax_number": "855-662-7882"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDIRECT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-11",
"last_updated": "2013-03-11",
"status": "A",
"authorized_official_last_name": "HANLEY",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "773-715-6258",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ekneewalker",
"code": "5",
"type": "Other 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 Mar 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.