Active NPI
D V Jahn Inc
- Oxygen Equipment & Supplies (DME)
- Mundelein, IL
National Provider Identifier
1770738007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- 203001045
- Legal business name
- D V JAHN INC
- Practice address
- 25661 North Hillview CT
Mundelein, IL 60060-9426 - Phone
- (847) 550-1898
- NPI assigned
- Dec 1, 2008
- Last updated
- May 25, 2010
- 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. Dmitriy Victor Jahn
- Title
- Owner/President
- Phone
- (847) 452-2975
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 203001045 | IL | Primary |
Addresses
Primary practice location
25661 North Hillview CT
Mundelein, IL 60060-9426
Mailing address
25661 North Hillview CT
Mundelein, IL 60060-9426
Phone (847) 550-1898
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 203001045 | Other | IL | LICENSE |
National Provider Directory
National Provider DirectoryLocations
4081 Ryan Rd
Ste 103
Gurnee, IL 60031
Phone (847) 573-1908
25661 N Hillview Ct
Mundelein, IL 60060
Phone (847) 550-1898
25661 N Hillview Ct
Unit A
Mundelein, IL 60060
Phone (847) 550-1898
881 S Northpoint Blvd
Waukegan, IL 60085
Phone (847) 573-1908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228089600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1274745600000",
"number": "1770738007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25661 NORTH HILLVIEW CT",
"city": "MUNDELEIN",
"state": "IL",
"postal_code": "600609426",
"telephone_number": "847-550-1898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25661 NORTH HILLVIEW CT",
"city": "MUNDELEIN",
"state": "IL",
"postal_code": "600609426",
"telephone_number": "847-550-1898"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "D V JAHN INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-01",
"last_updated": "2010-05-25",
"status": "A",
"authorized_official_last_name": "JAHN",
"authorized_official_first_name": "DMITRIY",
"authorized_official_middle_name": "VICTOR",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "847-452-2975",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "IL",
"license": "203001045",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "203001045",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mundelein, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.