Active NPI
Rehabilitative Products & Nutritional Supply,Inc.
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
National Provider Identifier
1760476618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- REHABILITATIVE PRODUCTS & NUTRITIONAL SUPPLY,INC.
- Practice address
- 11736 S Western Ave
Chicago, IL 60643-4732 - Phone
- (773) 445-7482
- Fax
- (773) 445-7522
- NPI assigned
- Sep 7, 2005
- Last updated
- Aug 22, 2008
- 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
- Mr. Keith D. Carter
- Title
- General Manager
- Phone
- (773) 445-7470
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary |
Addresses
Primary practice location
11736 S Western Ave
Chicago, IL 60643-4732
Mailing address
11736 S Western Ave
Chicago, IL 60643-4732
Phone (773) 445-7482
National Provider Directory
National Provider DirectoryLocations
11736 S Western Ave
Chicago, IL 60643
Phone (773) 445-7482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219363200000",
"number": "1760476618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11736 S WESTERN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606434732",
"telephone_number": "773-445-7482",
"fax_number": "773-445-7522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11736 S WESTERN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606434732",
"telephone_number": "773-445-7482",
"fax_number": "773-445-7522"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REHABILITATIVE PRODUCTS & NUTRITIONAL SUPPLY,INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-07",
"last_updated": "2008-08-22",
"status": "A",
"authorized_official_last_name": "CARTER",
"authorized_official_first_name": "KEITH",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "GENERAL MANAGER",
"authorized_official_telephone_number": "773-445-7470",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
- Rehabilitation of Chicago
- Rehabilitation Professionals, Inc.
- Rehabilitation Services Group LTD
- Rehabilitation Services Network, Inc (Rehabilitation Services Network)
- Rehabilitative Institute of Chicago
- Rehability SC
- Mary Reher, MS, RDN, CSO, LDN
- Asad Rehman, DO
- Jalees Rehman, M.D.
- Natali Y Rehman, LMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.