Active NPI
Medic LLC
- Durable Medical Equipment & Medical Supplies
- Bolingbrook, IL
National Provider Identifier
1760381321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MEDIC LLC
- Practice address
- 828 Clearcroft Ave
Bolingbrook, IL 60490-5441 - Phone
- (999) 777-5555
- NPI assigned
- Nov 2, 2026
- Last updated
- Nov 2, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melissa Shah
- Title
- Manager
- Phone
- (999) 777-4444
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
828 Clearcroft Ave
Bolingbrook, IL 60490-5441
Mailing address
828 Clearcroft Ave
Bolingbrook, IL 60490-5441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1793577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1793577600000",
"number": "1760381321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "828 CLEARCROFT AVE",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604905441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "828 CLEARCROFT AVE",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604905441",
"telephone_number": "999-777-5555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-11-02",
"last_updated": "2026-11-02",
"certification_date": "2026-11-02",
"status": "A",
"authorized_official_last_name": "SHAH",
"authorized_official_first_name": "MELISSA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "999-777-4444"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bolingbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.