North Star DME &Dental Lab Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

NORTH STAR DME &DENTAL LAB INC.

Practice address

559 N Wolf Rd
Wheeling, IL 60090-3027

Phone

(224) 676-1052

Fax

(847) 947-2194

NPI assigned

Jun 13, 2011

Last updated

Jun 13, 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

Angelito Adaya

Title

President

Phone

(224) 628-5685

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307923200000",
    "number": "1528353026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 N WOLF RD",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600903027",
            "telephone_number": "224-676-1052",
            "fax_number": "847-947-2194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 N WOLF RD",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600903027",
            "telephone_number": "224-676-1052",
            "fax_number": "847-947-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STAR DME &DENTAL LAB INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-13",
        "last_updated": "2011-06-13",
        "status": "A",
        "authorized_official_last_name": "ADAYA",
        "authorized_official_first_name": "ANGELITO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "224-628-5685"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LIC.",
            "identifier": "A-300-0047-0280",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NHS Medical Supplies LLC
• North Star Medical Supply, Inc.
• North Suburban Injury Care
• Northwest Implant Dental Spa
• Northwest OB/GYN Consulting
• Nataliya Nusinova

• Durable Medical Equipment & Medical Supplies in Wheeling, IL
• Providers in Wheeling, 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 Jun 13, 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.