NPIMap

Organization Active NPI

NK Medical Supply

  • Secured Medical Transport (VAN)
  • Midlothian, IL
National Provider Identifier
1720106214
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Secured Medical Transport (VAN)Taxonomy code 343800000X
License
002 Issued in IL
Legal business name
NK MEDICAL SUPPLY
Practice address
3300 147TH St Ste B
Midlothian, IL 60445-3612
Phone
(708) 925-0532
Fax
(708) 925-0542
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Anietie King
Title
President
Phone
(708) 925-0532

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Secured Medical Transport (VAN) 343800000X 002 IL Primary

Addresses

Primary practice location

3300 147TH St Ste B
Midlothian, IL 60445-3612

Mailing address

3300 147TH St Ste B
Midlothian, IL 60445-3612
Phone (708) 925-0532

National Provider Directory

National Provider Directory
Tax ID family
NK Medical Supply2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3300 147th St
Ste B
Midlothian, IL 60445
Phone (708) 925-0532

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1720106214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 147TH ST STE B",
            "city": "MIDLOTHIAN",
            "state": "IL",
            "postal_code": "604453612",
            "telephone_number": "708-925-0532",
            "fax_number": "708-925-0542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 147TH ST STE B",
            "city": "MIDLOTHIAN",
            "state": "IL",
            "postal_code": "604453612",
            "telephone_number": "708-925-0532",
            "fax_number": "708-925-0542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NK MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "ANIETIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-925-0532",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": "IL",
            "license": "002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.