Active NPI
Elite Medical Supplies Inc
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
National Provider Identifier
1821515040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- ELITE MEDICAL SUPPLIES INC
- Doing business as
- Elite Medical Supplies Inc
- Practice address
- 5875 N Lincoln Ave Ste 141
Chicago, IL 60659-4617 - Phone
- (773) 587-2894
- NPI assigned
- Aug 28, 2017
- 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
- Afroze Unnisa
- Title
- President
- Phone
- (773) 587-2894
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
5875 N Lincoln Ave Ste 141
Chicago, IL 60659-4617
Mailing address
5875 N Lincoln Ave Ste 141
Chicago, IL 60659-4617
Phone (773) 587-2894
Other names 1
- Elite Medical Supplies Inc
National Provider Directory
National Provider DirectoryLocations
5875 N Lincoln Ave
Ste LL220
Chicago, IL 60659
Phone (773) 587-2894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503878400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1821515040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5875 N LINCOLN AVE STE 141",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606594617",
"telephone_number": "773-587-2894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5875 N LINCOLN AVE STE 141",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606594617",
"telephone_number": "773-587-2894"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELITE MEDICAL SUPPLIES INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-28",
"last_updated": "2022-07-21",
"certification_date": "2020-04-28",
"status": "A",
"authorized_official_last_name": "UNNISA",
"authorized_official_first_name": "AFROZE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "773-587-2894"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Elite Medical Supplies Inc",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Elite Medical Supplies Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.