Alpha American Medical Supply PLLC

Key facts

NPI

1659950103

Entity type

Organization (NPI type 2)

Primary specialty

Durable Medical Equipment & Medical Supplies 332B00000X

Legal business name

ALPHA AMERICAN MEDICAL SUPPLY PLLC

Practice address

1800 W Hawthorne LN Ste N1-323
West Chicago, IL 60185-1845

Phone

(630) 473-4770

Fax

(630) 621-9107

NPI assigned

Apr 2, 2021

Organization subpart

No

Authorized official

Name

Kalyan Raj Bolla

Title

Ceo / Manager

Phone

(630) 473-4770

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 16, 2024.

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1659950103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W HAWTHORNE LN STE N1-323",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601851845",
            "telephone_number": "630-473-4770",
            "fax_number": "630-621-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W HAWTHORNE LN STE N1-323",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601851845",
            "telephone_number": "630-473-4770",
            "fax_number": "630-621-9107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA AMERICAN MEDICAL SUPPLY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-02",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "BOLLA",
        "authorized_official_first_name": "KALYAN",
        "authorized_official_middle_name": "RAJ",
        "authorized_official_title_or_position": "CEO / MANAGER",
        "authorized_official_telephone_number": "630-473-4770"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chicago, IL

• Grace Alber
• Anelia Aleksandrova, RN
• All Home Medical Supply Co,
• Anthony Almaraz, DC
• Alpha American Medical Supply PLLC
• American Drug Stores LLC
• American Med Supply Inc
• American National Home Healthcare, Inc
• American Rehab Group Inc.
• Americantransportation Medi-Service

All providers in West Chicago, IL · Durable Medical Equipment & Medical Supplies in Illinois