Koebers Medical Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

KOEBERS MEDICAL SUPPLY LLC

Doing business as

Koebers Medical Supply

Practice address

8337 Skokie Blvd
Skokie, IL 60077-2547

Phone

(847) 677-6755

Fax

(847) 677-8042

NPI assigned

Jul 1, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Amir Montazery

Title

President

Phone

(847) 677-6755

Specialties & licenses 1

Addresses

Other names 1

• Koebers Medical Supply Doing business as

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561939200000",
    "number": "1629630629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8337 SKOKIE BLVD",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600772547",
            "telephone_number": "847-677-6755",
            "fax_number": "847-677-8042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8337 SKOKIE BLVD",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600772547",
            "telephone_number": "847-677-6755",
            "fax_number": "847-677-8042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOEBERS MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-01",
        "last_updated": "2019-07-01",
        "status": "A",
        "authorized_official_last_name": "MONTAZERY",
        "authorized_official_first_name": "AMIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-677-6755",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Koebers Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Y. Ko, D.C.
• Joyce Marie Kocher, M.D.
• Tony Chacko Kochuparambil, OTR/L
• Steven A. Kodros, MD
• Koeber's Inc.
• David I. Koenigsberg, MD
• Katherine Koester, M.A.
• Jason Koh, MD
• Eliana Kohn
• Yelena Y Kolezeva, M.D.

• Durable Medical Equipment & Medical Supplies in Skokie, IL
• Providers in Skokie, 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 Jul 1, 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.