Colonial Medical Supply, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

203000369 Issued in IL

Legal business name

COLONIAL MEDICAL SUPPLY, INC.

Practice address

340 Ashwood CT
Vernon Hills, IL 60061-2335

Phone

(847) 247-4770

NPI assigned

Jun 26, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Aaron I Notterman

Title

President

Phone

(847) 247-4770

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238630400000",
    "number": "1669409959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 ASHWOOD CT",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600612335",
            "telephone_number": "847-247-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 ASHWOOD CT",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600612335",
            "telephone_number": "847-247-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2009-04-02",
        "status": "A",
        "authorized_official_last_name": "NOTTERMAN",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-247-4770",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "203000369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Coady
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• Stacey Cohen, SLP MA /CCC
• Ryan Collier, DPT, PT
• Ryan Miguel Colon, PA-C
• Community Health and Immunization Services, LLC
• Community High School District 128
• Zijada Comor, PHARMD
• Comprehensive Well Being Solution, Inc.
• Condell Acute Care Centers

• Durable Medical Equipment & Medical Supplies in Vernon Hills, IL
• Providers in Vernon Hills, 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 Apr 2, 2009; 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.