Organization Active NPI

Armor Medical Supply Chicago West

  • Durable Medical Equipment & Medical Supplies
  • Chicago, IL
National Provider Identifier
1922329168
Registry record updated Jun 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ARMOR MEDICAL SUPPLY CHICAGO WEST
Doing business as
Armor Medical Chicago West
Practice address
2923 W Jackson Blvd
Chicago, IL 60612-3635
Phone
(708) 557-5074
Fax
(815) 469-2398
NPI assigned
Jun 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2010

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

Authorized official

Name
Mr. Kimbrel Dwane Stephen
Title
Vice President
Phone
(708) 557-5074

Specialties & licenses 1

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

Addresses

Primary practice location

2923 W Jackson Blvd
Chicago, IL 60612-3635

Mailing address

2923 W Jackson Blvd
Chicago, IL 60612-3635
Phone (708) 557-5074

Other names 1

  • Armor Medical Chicago West Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277164800000",
    "number": "1922329168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2923 W JACKSON BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123635",
            "telephone_number": "708-557-5074",
            "fax_number": "815-469-2398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2923 W JACKSON BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123635",
            "telephone_number": "708-557-5074",
            "fax_number": "815-469-2398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARMOR MEDICAL SUPPLY CHICAGO WEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-22",
        "last_updated": "2010-06-22",
        "status": "A",
        "authorized_official_last_name": "STEPHEN",
        "authorized_official_first_name": "KIMBREL",
        "authorized_official_middle_name": "DWANE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "708-557-5074",
        "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": [
        {
            "organization_name": "Armor Medical Chicago West",
            "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 Jun 22, 2010; 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.