De Sa Universal

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DE SA UNIVERSAL

Practice address

912 N Greenbay Rd
Waukegan, IL 60085

Phone

(847) 406-5176

Fax

(847) 406-5177

NPI assigned

Jul 12, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Peter Sadkhin

Title

President

Phone

(847) 406-5176

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224633600000",
    "number": "1851590616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 N GREENBAY RD",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "60085",
            "telephone_number": "847-406-5176",
            "fax_number": "847-406-5177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 N GREENBAY RD",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "60085",
            "telephone_number": "847-406-5176",
            "fax_number": "847-406-5177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE SA UNIVERSAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2008-10-22",
        "status": "A",
        "authorized_official_last_name": "SADKHIN",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-406-5176",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "364010145001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Saul Davis
• Tracy A. Davis, B.S.
• Craig Davishoff, MD
• Lizbeth De Belen
• Reena De Lanerolle
• Jacqueline Pasalo Dela Cruz, PHARMD
• Kimberly Delva
• Christine Louise Dempski
• Cassandra C Deniston, MSW
• Erika Denny, MSW

• Durable Medical Equipment & Medical Supplies in Waukegan, IL
• Providers in Waukegan, 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 Oct 22, 2008; 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.