Shoreline Medical Equipment,LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SHORELINE MEDICAL EQUIPMENT,LLC

Practice address

320 S. California Ave
Ste 1
Chicago, IL 60612

Phone

(773) 886-1533

Fax

(773) 886-1642

NPI assigned

Mar 21, 2019

Organization subpart

No

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

Authorized official

Name

Anniece EvansNPI 1598312290

Title

Manager

Phone

(773) 886-1533

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anniece Evans

  • Durable Medical Equipment & Medical Supplies
  • Chicago, IL
  • NPI 1598312290
  NPD Authorized official

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1528528106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 S. CALIFORNIA AVE",
            "address_2": "STE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123693",
            "telephone_number": "773-886-1533",
            "fax_number": "773-886-1642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 S. CALIFORNIA AVE",
            "address_2": "STE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60612",
            "telephone_number": "773-886-1533",
            "fax_number": "773-886-1642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3141 W Monroe St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606122709",
            "country_code": "US",
            "telephone_number": "630-297-1507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHORELINE MEDICAL EQUIPMENT,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-21",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "ANNIECE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-886-1533"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "DME",
            "affiliation": "N",
            "endpointDescription": "DME WORKS",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "320 S. California Ave",
            "address_2": "Ste 1",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Richard M. Shore, MD
• Ronald Dean Shore II, PA-C
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• Shoreline Behavioral of Illinois, Professional LLC
• Shoreline Logistics (Jerome Shores)
• Janiece Shores
• Ruth H Shorr, MA, LCPC
• Stephanie Shors, MD
• Short Physical Therapy & Performance PLLC
• Amy Louise Short, PMHNP-BC

• Durable Medical Equipment & Medical Supplies in Chicago, IL
• Providers in Chicago, 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 Dec 17, 2019; 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.