Organization Active NPI

Vestora

  • Durable Medical Equipment & Medical Supplies
  • Matteson, IL
National Provider Identifier
1497052906
Registry record updated Feb 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
VESTORA
Practice address
430 Homeland Rd
Matteson, IL 60443-1883
Phone
(312) 259-3953
NPI assigned
Feb 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2011

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

Authorized official

Name
Mr. Burton Phillips
Title
President
Phone
(312) 259-3953

Specialties & licenses 1

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

Addresses

Primary practice location

430 Homeland Rd
Matteson, IL 60443-1883

Mailing address

430 Homeland Rd
Matteson, IL 60443-1883
Phone (312) 259-3953

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297900800000",
    "number": "1497052906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 HOMELAND RD",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604431883",
            "telephone_number": "312-259-3953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 HOMELAND RD",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604431883",
            "telephone_number": "312-259-3953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VESTORA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-17",
        "last_updated": "2011-02-17",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "BURTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-259-3953",
        "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": []
}

Other providers in Matteson, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.