Great World Medical Equipment and Supplies Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

38468298 Issued in IL

Legal business name

GREAT WORLD MEDICAL EQUIPMENT AND SUPPLIES INC.

Practice address

1508 W 127TH St
Calumet Park, IL 60827-6008

Phone

(708) 747-3200

Fax

(708) 575-4005

NPI assigned

Feb 7, 2008

Organization subpart

No

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

Authorized official

Name

Eme Isin Udoetuk

Title

Administrative Director

Phone

(708) 747-3200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246492800000",
    "number": "1710165113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 W 127TH ST",
            "city": "CALUMET PARK",
            "state": "IL",
            "postal_code": "608276008",
            "telephone_number": "708-747-3200",
            "fax_number": "708-575-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 W 127TH ST",
            "city": "CALUMET PARK",
            "state": "IL",
            "postal_code": "608276008",
            "telephone_number": "708-747-3200",
            "fax_number": "708-575-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT WORLD MEDICAL EQUIPMENT AND SUPPLIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2009-07-02",
        "status": "A",
        "authorized_official_last_name": "UDOETUK",
        "authorized_official_first_name": "EME",
        "authorized_official_middle_name": "ISIN",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "708-747-3200"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "38468298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiajuana Dixon
• Michele Early, SW
• Shameema Essof, D.D.S0
• GDM Consultants
• Jennifer Ollie Goodrich, LCPC
• Caitlin Greenfield, FNP-BC
• Lonyah Monquie Guy, APRN
• Raegene Hankle, FNP-BC
• Healing Walls Rehabilitation LLC
• Tonya Hicks

• Durable Medical Equipment & Medical Supplies in Calumet Park, IL
• Providers in Calumet Park, 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 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.