Fox Valley Medical Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

FOX VALLEY MEDICAL SUPPLY LLC

Practice address

2325 Dean St Ste 800-T
St Charles, IL 60175-4810

Phone

(312) 757-5070

Fax

(888) 288-4680

NPI assigned

Sep 19, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Kartik Bhatia

Title

Owner

Phone

(312) 888-5454

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677369600000",
    "number": "1912629635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 DEAN ST STE 800-T",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601754810",
            "telephone_number": "781-888-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 DEAN ST STE 800-T",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601754810",
            "telephone_number": "312-757-5070",
            "fax_number": "888-288-4680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX VALLEY MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-19",
        "last_updated": "2023-02-26",
        "certification_date": "2023-02-26",
        "status": "A",
        "authorized_official_last_name": "BHATIA",
        "authorized_official_first_name": "KARTIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-888-5454",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in St Charles, IL
• Providers in St Charles, 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 Feb 26, 2023; 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.