NPIMap

Organization Active NPI

Ad Medical Supply, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Chicago, IL
National Provider Identifier
1629015904
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
AD MEDICAL SUPPLY, INC.
Practice address
6160 N Cicero Ave Ste 503
Chicago, IL 60646-4327
Phone
(773) 292-1940
Fax
(773) 292-1939
NPI assigned
Jun 2, 2006
Last updated
Jun 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Authorized official

Name
Mr. Cory D Skwor
Title
President
Phone
(773) 292-1940

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

6160 N Cicero Ave Ste 503
Chicago, IL 60646-4327

Mailing address

6160 N Cicero Ave Ste 503
Chicago, IL 60646-4327
Phone (773) 292-1940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN, MO, AZ, CA, WI7 enrollments

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
O20100930092372 IL DME Supplier - Medical Supply CompanyDME Supplier - Pedorthic PersonnelDME Supplier - Medical Supply Company With Pedorthic Personnel 0648173120 Practice locations: Chicago, IL
O20110617000112 IN Part B Supplier - Clinic/Group Practice 0648173120 Receives reassigned benefits from 1 practitioner
Practice locations: Indianapolis, IN
O20131021000527 MO Part B Supplier - Clinic/Group Practice 0648173120 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Louis, MO
O20131022001869 IL Part B Supplier - Clinic/Group Practice 0648173120 Receives reassigned benefits from 14 practitioners
Practice locations: Chicago, IL
O20140718002138 AZ Part B Supplier - Clinic/Group Practice 0648173120 Receives reassigned benefits from 1 practitioner
Practice locations: Phoenix, AZ
O20160413001210 CA Part B Supplier - Clinic/Group Practice 0648173120 Receives reassigned benefits from 1 practitioner
Practice locations: Rancho Cucamonga, CA
O20160518002723 WI Part B Supplier - Clinic/Group Practice 0648173120 Practice locations: Greenfield, WI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Ad Medical Supply Inc6160 N Cicero Ave, Chicago, IL 60646-4327(773) 292-1940 Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Ostomy Supplies|Tracheotomy Supplies|Urological Supplies|Limb Prostheses|Surgical Dressings|Diabetic Shoe… Accepts assignmentParticipating since Nov 4, 2013

National Provider Directory

National Provider Directory

Locations

1525 W Homer St
Ste 101
Chicago, IL 60642
Phone (773) 292-1940

6160 N Cicero Ave
Ste 503
Chicago, IL 60646
Phone (773) 292-1940

10405 Baur Blvd
Ste A
Saint Louis, MO 63132

8664 Olive Blvd
#A
Saint Louis, MO 63132

Practitioners & affiliated clinicians

Practitioners 26

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.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687996800000",
    "number": "1629015904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 N CICERO AVE STE 503",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464327",
            "telephone_number": "773-292-1940",
            "fax_number": "773-292-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 N CICERO AVE STE 503",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464327",
            "telephone_number": "773-292-1940",
            "fax_number": "773-292-1939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AD MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A",
        "authorized_official_last_name": "SKWOR",
        "authorized_official_first_name": "CORY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-292-1940",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "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 Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.