Armor Medical Supply LLC Chicago South

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

203001131 Issued in IL

Legal business name

ARMOR MEDICAL SUPPLY LLC CHICAGO SOUTH

Practice address

16643 S Kedzie Ave
Suite 104
Markham, IL 60428-5512

Phone

(708) 331-7111

Fax

(708) 331-7112

NPI assigned

Jul 8, 2009

Last updated

Jan 6, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimbrel Stephen

Title

Vice President

Phone

(708) 331-7111

Specialties & licenses 2

Addresses

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Armor Medical

  • Durable Medical Equipment & Medical Supplies
  • Fairfax, VA
  • NPI 1952599136

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388966400000",
    "number": "1699904896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16643 S KEDZIE AVE",
            "address_2": "SUITE 104",
            "city": "MARKHAM",
            "state": "IL",
            "postal_code": "604285512",
            "telephone_number": "708-331-7111",
            "fax_number": "708-331-7112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16643 S KEDZIE AVE",
            "address_2": "SUITE 104",
            "city": "MARKHAM",
            "state": "IL",
            "postal_code": "604285512",
            "telephone_number": "708-331-7111",
            "fax_number": "708-331-7112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARMOR MEDICAL SUPPLY LLC CHICAGO SOUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-08",
        "last_updated": "2014-01-06",
        "status": "A",
        "authorized_official_last_name": "STEPHEN",
        "authorized_official_first_name": "KIMBREL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "708-331-7111"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IN",
            "license": "69000903A",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "203001131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Markham, IL
• Providers in Markham, 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 Jan 6, 2014; 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.