Organization Active NPI

Elite Medical Supplies Inc

  • Durable Medical Equipment & Medical Supplies
  • Chicago, IL
National Provider Identifier
1821515040
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.