Monarch Medical Supplies, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MONARCH MEDICAL SUPPLIES, INC.

Practice address

12757 Western Ave
Suite 101
Blue Island, IL 60406-2155

Phone

(708) 629-0678

Fax

(708) 629-0679

NPI assigned

Oct 26, 2009

Last updated

Oct 26, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Faith Osemwengie

Title

Vice President

Phone

(773) 531-2524

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1256515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256515200000",
    "number": "1902132079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12757 WESTERN AVE",
            "address_2": "SUITE 101",
            "city": "BLUE ISLAND",
            "state": "IL",
            "postal_code": "604062155",
            "telephone_number": "708-629-0678",
            "fax_number": "708-629-0679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12757 WESTERN AVE",
            "address_2": "SUITE 101",
            "city": "BLUE ISLAND",
            "state": "IL",
            "postal_code": "604062155",
            "telephone_number": "708-629-0678",
            "fax_number": "708-629-0679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONARCH MEDICAL SUPPLIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-26",
        "last_updated": "2009-10-26",
        "status": "A",
        "authorized_official_last_name": "OSEMWENGIE",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "773-531-2524"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Blue Island, IL
• Providers in Blue Island, 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 26, 2009; 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.