Active NPI
Valley Regional Medical Supply
- Parenteral & Enteral Nutrition Supplies (DME)
- La Salle, IL
National Provider Identifier
1770680803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Parenteral & Enteral Nutrition Supplies (DME)
- Legal business name
- VALLEY REGIONAL MEDICAL SUPPLY
- Practice address
- 518 3Rd St
La Salle, IL 61301-2402 - Phone
- (815) 223-4422
- Fax
- (815) 223-4429
- NPI assigned
- Sep 20, 2006
- Last updated
- Sep 11, 2025
- 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
- Mrs. Rachel A. Condron
- Title
- President
- Phone
- (815) 223-4422
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | IL | Primary | |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | IL |
Addresses
Primary practice location
518 3Rd St
La Salle, IL 61301-2402
Mailing address
518 3Rd St
PO Box 1134
La Salle, IL 61301-2402
Phone (815) 223-4422
National Provider Directory
National Provider DirectoryLocations
518 3rd St
La Salle, IL 61301
Phone (815) 223-4422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1770680803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "518 3RD ST",
"address_2": "PO BOX 1134",
"city": "LA SALLE",
"state": "IL",
"postal_code": "613012402",
"telephone_number": "815-223-4422",
"fax_number": "815-223-4429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "518 3RD ST",
"city": "LA SALLE",
"state": "IL",
"postal_code": "613012402",
"telephone_number": "815-223-4422",
"fax_number": "815-223-4429"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY REGIONAL MEDICAL SUPPLY",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "CONDRON",
"authorized_official_first_name": "RACHEL",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "815-223-4422",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "IL",
"license": null,
"primary": true
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "IL",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Salle, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.