A & E Medical Supply, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

203000698 Issued in IL

Legal business name

A & E MEDICAL SUPPLY, INC

Practice address

1832 Techny CT
Northbrook, IL 60062-5474

Phone

(773) 205-0011

Fax

(773) 205-0044

NPI assigned

Mar 22, 2006

Last updated

Feb 24, 2015By 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

Leo Akselrud

Title

Vice-President

Phone

(773) 205-0011

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424736000000",
    "number": "1558320911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1832 TECHNY CT",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600625474",
            "telephone_number": "773-205-0011",
            "fax_number": "773-205-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1832 TECHNY CT",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600625474",
            "telephone_number": "773-205-0011",
            "fax_number": "773-205-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A & E MEDICAL SUPPLY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2015-02-24",
        "status": "A",
        "authorized_official_last_name": "AKSELRUD",
        "authorized_official_first_name": "LEO",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "773-205-0011"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "203000698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE (HARMONY HEALTH)",
            "identifier": "N318253",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200531540A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF IL",
            "identifier": "1635220",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Northbrook, IL
• Providers in Northbrook, 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 Feb 24, 2015; 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.