Organization Active NPI

Sigma Surgical Supply Corp

  • Durable Medical Equipment & Medical Supplies
  • Chicago, IL
National Provider Identifier
1619003126
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1197818 Issued in IL
Legal business name
SIGMA SURGICAL SUPPLY CORP
Practice address
2708 W Division St
Chicago, IL 60622-5681
Phone
(773) 235-5553
Fax
(773) 235-5430
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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

Authorized official

Name
Mr. Boris Kramnik Sr.
Title
Owner
Phone
(773) 235-5553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1197818 IL Primary

Addresses

Primary practice location

2708 W Division St
Chicago, IL 60622-5681

Mailing address

2708 W Division St
Chicago, IL 60622-5681
Phone (773) 235-5553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930078228 IL DME Supplier - Medical Supply CompanyDME Supplier - Oxygen & EquipmentDME Supplier - Orthotic Personnel 1153441969 Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

2708 W Division St
Chicago, IL 60622
Phone (773) 235-5553

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454457600000",
    "number": "1619003126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 W DIVISION ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606225681",
            "telephone_number": "773-235-5553",
            "fax_number": "773-235-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 W DIVISION ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606225681",
            "telephone_number": "773-235-5553",
            "fax_number": "773-235-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGMA SURGICAL SUPPLY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2016-02-03",
        "status": "A",
        "authorized_official_last_name": "KRAMNIK",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-235-5553",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "1197818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.