NPIMap

Organization Active NPI

North Shore Medical Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Northbrook, IL
National Provider Identifier
1801096292
Registry record updated Feb 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
12312677 Issued in IL
Legal business name
NORTH SHORE MEDICAL SUPPLY LLC
Practice address
1500 Skokie Blvd
Suite 202
Northbrook, IL 60062-4121
Phone
(847) 291-6767
Fax
(847) 298-7600
NPI assigned
Jul 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2010

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

Authorized official

Name
Eugene Spector
Title
Owner
Phone
(847) 291-6767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 12312677 IL Primary

Addresses

Primary practice location

1500 Skokie Blvd
Suite 202
Northbrook, IL 60062-4121

Mailing address

1500 Skokie Blvd
Suite 202
Northbrook, IL 60062-4121
Phone (847) 291-6767

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264982400000",
    "number": "1801096292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SKOKIE BLVD",
            "address_2": "SUITE 202",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624121",
            "telephone_number": "847-291-6767",
            "fax_number": "847-298-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SKOKIE BLVD",
            "address_2": "SUITE 202",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624121",
            "telephone_number": "847-291-6767",
            "fax_number": "847-298-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2010-02-01",
        "status": "A",
        "authorized_official_last_name": "SPECTOR",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-291-6767"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "12312677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.