Individual provider Active NPI

Jamil Parvez

  • Durable Medical Equipment & Medical Supplies
  • St Charles, IL
National Provider Identifier
1720848112
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
14068414 Issued in IL
Practice address
333 N Randall Rd Ste 107
St Charles, IL 60174-1500
Phone
(630) 597-5320
NPI assigned
Mar 21, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 14068414 IL Primary

Addresses

Primary practice location

333 N Randall Rd Ste 107
St Charles, IL 60174-1500

Mailing address

333 N Randall Rd Ste 107
St Charles, IL 60174-1500
Phone (630) 597-5320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14068414ILMDDurable Medical Equipment & Medical Supplies

Practice roles

OrganizationSpecialtyStatusNew patients
Reliant DME LLC Durable Medical Equipment & Medical Supplies CurrentSince Mar 24, 2024 Accepting new patients

Locations

333 N Randall Rd
Ste 107
St Charles, IL 60174
Phone (630) 597-5320

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1720848112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N RANDALL RD STE 107",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741500",
            "telephone_number": "630-597-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N RANDALL RD STE 107",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741500",
            "telephone_number": "630-597-5320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARVEZ",
        "first_name": "JAMIL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "14068414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.