Organization Active NPI

MCS Global Medical Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Chicago, IL
National Provider Identifier
1932259470
Registry record updated Sep 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
203.000451 Issued in IL
Legal business name
MCS GLOBAL MEDICAL SUPPLY INC
Practice address
1900 N Austin Ave
Suite 100
Chicago, IL 60639-5010
Phone
(773) 664-0034
Fax
(773) 664-0035
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2009

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

Authorized official

Name
Mr. Sam I Nwachukwu
Title
Account Executive
Phone
(773) 664-0034

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 203.000451 IL Primary

Addresses

Primary practice location

1900 N Austin Ave
Suite 100
Chicago, IL 60639-5010

Mailing address

1900 N Austin Ave
Suite 100
Chicago, IL 60639-5010
Phone (773) 664-0034

Other identifiers 1

IdentifierTypeStateIssuer
45494843001MedicaidIL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253059200000",
    "number": "1932259470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 N AUSTIN AVE",
            "address_2": "SUITE 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606395010",
            "telephone_number": "773-664-0034",
            "fax_number": "773-664-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N AUSTIN AVE",
            "address_2": "SUITE 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606395010",
            "telephone_number": "773-664-0034",
            "fax_number": "773-664-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCS GLOBAL MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2009-09-16",
        "status": "A",
        "authorized_official_last_name": "NWACHUKWU",
        "authorized_official_first_name": "SAM",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "ACCOUNT EXECUTIVE",
        "authorized_official_telephone_number": "773-664-0034",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "203.000451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45494843001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Sep 16, 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.