Organization Active NPI

Shoreline Logistics

  • Durable Medical Equipment & Medical Supplies
  • Chicago, IL
National Provider Identifier
1730904277
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SHORELINE LOGISTICS
Practice address
159 N Sangamon St Ste 200
Chicago, IL 60607-2201
Phone
(331) 321-7736
Fax
(331) 321-8766
NPI assigned
Nov 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Authorized official

Name
Jerome Shores
Title
Ceo
Phone
(331) 321-7736

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Transportation Broker 347E00000X

Addresses

Primary practice location

159 N Sangamon St Ste 200
Chicago, IL 60607-2201

Mailing address

159 N Sangamon St Ste 200
Chicago, IL 60607-2201
Phone (331) 321-7736

Other names 1

  • Jerome Shores Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1730904277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 N SANGAMON ST STE 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072201",
            "telephone_number": "331-321-7736",
            "fax_number": "331-321-8766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 N SANGAMON ST STE 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072201",
            "telephone_number": "331-321-7736",
            "fax_number": "331-321-8766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE LOGISTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-19",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "SHORES",
        "authorized_official_first_name": "JEROME",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "331-321-7736"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jerome Shores",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 19, 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.