Organization Active NPI

D V Jahn Inc

  • Oxygen Equipment & Supplies (DME)
  • Mundelein, IL
National Provider Identifier
1770738007
Registry record updated May 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
203001045 Issued in IL
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
203001045OtherILLICENSE

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.