PROVIDA MEDICAL SUPPLY, INC.
NPI 1023395381
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies in Mundelein, IL

Active since November 14, 2011
333 IL-83 STE 206, MUNDELEIN, IL 60060(847) 918-8085(847) 881-0301 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 10, 2025, May 30, 2025 (2 updates tracked since 2025).

About Provida Medical Supply, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDA MEDICAL SUPPLY, INC. (NPI 1023395381) is a healthcare organization registered as an oxygen equipment & supplies in Mundelein, Illinois and active in the NPI registry since November 2011. The organization lists Luda Troyak, President, as its authorized official.

NPPES Registry Identity

NPI1023395381
Entity TypeOrganization
Primary Taxonomy332BX2000X
Legal Business NamePROVIDA MEDICAL SUPPLY, INC.
Location Address333 IL-83 STE 206Mundelein, IL 60060-3117
Mailing Address333 Il-83 Ste 206Mundelein, IL 60060-3117 · (847) 918-8085 · Fax (847) 881-0301
Fax(847) 881-0301
Organization SubpartNo
Authorized OfficialLuda TroyakPresident · (847) 918-8085
Enumeration DateNovember 14, 2011
Last NPPES UpdateNovember 10, 20252 updates tracked since enumeration
NPPES CertifiedNovember 10, 2025
NPI 1023395381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code332BX2000X
License Licensed in IL · 203001360
333 IL-83 STE 206, Mundelein, IL 60060

Other Identifiers 1

Other203001360IL · License

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

In Home Supportive Care
333 IL-83 STE 206
MUNDELEIN, IL 60060

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Provida Medical Supply, Inc.'s NPI number?

The NPI number for Provida Medical Supply, Inc. is 1023395381. It was assigned to this organization in the NPPES registry on November 14, 2011.

Where is Provida Medical Supply, Inc. located?

Provida Medical Supply, Inc. is located at 333 Il-83 Ste 206, Mundelein, IL 60060. The listed phone number is (847) 918-8085.

What is Provida Medical Supply, Inc.'s specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Oxygen Equipment & Supplies, with taxonomy code 332BX2000X.

When was this NPI record last updated?

The NPPES record for Provida Medical Supply, Inc. was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.