Icoco Enterprises Limited

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

203.000988 Issued in IL

Legal business name

ICOCO ENTERPRISES LIMITED

Doing business as

Icoco Medical Supply Services

Practice address

1107 S Mannheim Rd
Suite 212
Westchester, IL 60154-2561

Phone

(708) 343-4704

Fax

(708) 343-4941

NPI assigned

Aug 26, 2010

Last updated

Aug 26, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Sunday NwankpaNPI 1487824785

Title

President/Ceo

Phone

(708) 343-4704

Specialties & licenses 1

Addresses

Other names 1

• Icoco Medical Supply Services Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sunday Nwankpa

  • Durable Medical Equipment & Medical Supplies
  • Westchester, IL
  • NPI 1487824785
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282780800000",
    "number": "1770899890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 S MANNHEIM RD",
            "address_2": "SUITE 212",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601542561",
            "telephone_number": "708-343-4704",
            "fax_number": "708-343-4941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 S MANNHEIM RD",
            "address_2": "SUITE 212",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601542561",
            "telephone_number": "708-343-4704",
            "fax_number": "708-343-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICOCO ENTERPRISES LIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-26",
        "last_updated": "2010-08-26",
        "status": "A",
        "authorized_official_last_name": "NWANKPA",
        "authorized_official_first_name": "SUNDAY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "708-343-4704",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "203.000988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Icoco Medical Supply Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Westchester, IL
• Providers in Westchester, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.