Organization Active NPI

Medax Medical Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Niles, IL
National Provider Identifier
1891081493
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDAX MEDICAL SUPPLY INC
Practice address
8938 N Greenwood Ave
Niles, IL 60714-5163
Phone
(773) 465-0040
Fax
(773) 465-0044
NPI assigned
Jun 22, 2011
Last updated
Jun 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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

Authorized official

Name
Mrs. Samreen Syed
Title
President
Phone
(847) 635-7644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

8938 N Greenwood Ave
Niles, IL 60714-5163

Mailing address

8938 N Greenwood Ave
Niles, IL 60714-5163
Phone (847) 635-7644

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309219200000",
    "number": "1891081493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8938 N GREENWOOD AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607145163",
            "telephone_number": "847-635-7644",
            "fax_number": "847-635-7670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8938 N GREENWOOD AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607145163",
            "telephone_number": "773-465-0040",
            "fax_number": "773-465-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDAX MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-22",
        "last_updated": "2011-06-28",
        "status": "A",
        "authorized_official_last_name": "SYED",
        "authorized_official_first_name": "SAMREEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-635-7644",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.

Verify at the official NPI Registry.