Active NPI
Second Act LLC
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
National Provider Identifier
1679729644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 39292878
- Legal business name
- SECOND ACT LLC
- Practice address
- 2768 N Lincoln Ave
Chicago, IL 60614-1321 - Phone
- (773) 525-2228
- Fax
- (773) 348-2228
- NPI assigned
- Aug 11, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patricia J Sheehan, CMF
- Title
- Owner
- Phone
- (773) 525-2228
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 39292878 | IL | Primary |
Addresses
Primary practice location
2768 N Lincoln Ave
Chicago, IL 60614-1321
Mailing address
2768 N Lincoln Ave
Chicago, IL 60614-1321
Phone (773) 525-2228
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930044177 | IL | DME Supplier - Medical Supply Company | 1052519303 | Practice locations: Chicago, IL |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Second Act LLC | Breast Prostheses and/or Accessories|Lymphedema Compression Treatment Items | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
2768 N Lincoln Ave
Chicago, IL 60614
Phone (773) 525-2228
2924 N Lincoln Ave
Ste 1
Chicago, IL 60657
Phone (773) 525-2228
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Chicago, IL
- NPI 1144354598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218412800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723507200000",
"number": "1679729644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2768 N LINCOLN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606141321",
"telephone_number": "773-525-2228",
"fax_number": "773-348-2228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2768 N LINCOLN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606141321",
"telephone_number": "773-525-2228",
"fax_number": "773-348-2228"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SECOND ACT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-11",
"last_updated": "2024-08-13",
"certification_date": "2024-08-13",
"status": "A",
"authorized_official_last_name": "SHEEHAN",
"authorized_official_first_name": "PATRICIA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "773-525-2228",
"authorized_official_credential": "CMF"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "IL",
"license": "39292878",
"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 Aug 13, 2024; 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.