Pride Medical Equipment LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PRIDE MEDICAL EQUIPMENT LLC

Practice address

17W727 Butterfield Rd Ste G
Oakbrook Terrace, IL 60181-4278

Phone

(630) 519-5421

NPI assigned

Jan 13, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Abdulkader Atassi

Title

General Manager

Phone

(312) 420-0170

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa Ann Cinquegrani-Pence, PSY.D.

  • Clinical Psychologist
  • Bloomingdale, IL
  • NPI 1629409651
  NPD
• Irene Medina, MSW, LCSW

  • Clinical Social Worker
  • Oakbrook Terrace, IL
  • NPI 1609105568
  NPD
• Mary Holland, PSY.D.

  • Psychologist
  • Oakbrook Terrace, IL
  • NPI 1548793672
  NPD (past)

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625529600000",
    "number": "1851980916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17W727 BUTTERFIELD RD STE G",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814278",
            "telephone_number": "630-519-5421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17W727 BUTTERFIELD RD STE G",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814278",
            "telephone_number": "630-519-5421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIDE MEDICAL EQUIPMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A",
        "authorized_official_last_name": "ATASSI",
        "authorized_official_first_name": "ABDULKADER",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "312-420-0170",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "HTTPS",
            "affiliation": "N",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "17W727 Butterfield Rd Ste F",
            "city": "Oakbrook Terrace",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601814278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Oakbrook Terrace, IL
• Providers in Oakbrook Terrace, 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 Jul 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.