Active NPI
Junior Medic LLC
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
National Provider Identifier
1881983146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- JUNIOR MEDIC LLC
- Practice address
- 3029 E 92ND St
Chicago, IL 60617-4500 - Phone
- (773) 382-0211
- NPI assigned
- Apr 7, 2011
- 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
- John Mwesigwa, RN
- Title
- President/Ceo
- Phone
- (773) 382-0211
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | IL | Primary |
Addresses
Primary practice location
3029 E 92ND St
Chicago, IL 60617-4500
Mailing address
3029 E 92ND St
Chicago, IL 60617-4500
Phone (773) 382-0211
Other names 1
- Medical Supplies Express
National Provider Directory
National Provider DirectoryLocations
3029 E 92nd St
Chicago, IL 60617
Phone (773) 382-0211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1302134400000",
"number": "1881983146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3029 E 92ND ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606174500",
"telephone_number": "773-382-0211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3029 E 92ND ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606174500",
"telephone_number": "773-382-0211"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUNIOR MEDIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-07",
"last_updated": "2011-04-07",
"status": "A",
"authorized_official_last_name": "MWESIGWA",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "773-382-0211",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Medical Supplies Express",
"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 Apr 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.