Starlight Medical Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

203000796 Issued in IL

Legal business name

STARLIGHT MEDICAL INC

Practice address

1803 Holian Dr
Suite D
Spring Grove, IL 60081-7934

Phone

(815) 550-3354

Fax

(815) 550-3355

NPI assigned

Jan 3, 2007

Last updated

May 18, 2008By 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

Ms. Susan R Bersie

Title

Ceo

Phone

(815) 550-3354

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211068800000",
    "number": "1982761268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S ATKINSON RD",
            "address_2": "SUITE 169",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600307817",
            "telephone_number": "815-550-3354",
            "fax_number": "815-550-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 HOLIAN DR",
            "address_2": "SUITE D",
            "city": "SPRING GROVE",
            "state": "IL",
            "postal_code": "600817934",
            "telephone_number": "815-550-3354",
            "fax_number": "815-550-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARLIGHT MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2008-05-18",
        "status": "A",
        "authorized_official_last_name": "BERSIE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "815-550-3354",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "203000796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Spring Grove, IL
• Providers in Spring Grove, 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 May 18, 2008; 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.