NPIMap

Axiom Healthcare of Mount Vernon LLC

Organization Active NPI Durable Medical Equipment & Medical Supplies · Mount Vernon, IL

NPI 1497582993 · NPPES record last updated Nov 4, 2025

Key facts

NPI
1497582993
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
AXIOM HEALTHCARE OF MOUNT VERNON LLC
Practice address
1700 White St
Mount Vernon, IL 62864-4349
Phone
(618) 242-4075
NPI assigned
Sep 18, 2024
Organization subpart
No

Authorized official

Name
Jennifer Spector
Title
VP of Revenue Cycle Management
Phone
(847) 262-3800

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Ability Network (2 organizations share this tax ID)

Specialties & licenses

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

Addresses

Primary practice location

1700 White St
Mount Vernon, IL 62864-4349

Mailing address

4655 W Chase Ave
Lincolnwood, IL 60712-1605
Phone (847) 262-3800

Other names

  • Axiom Healthcare Of Mount Vernon Doing business as

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Other providers in Mount Vernon, IL

All providers in Mount Vernon, IL · Durable Medical Equipment & Medical Supplies in Illinois

Sources for this page

Verify at the official NPI Registry.