ST AGNES MEDICAL EQUIPMENT CO INC
NPI 1386860864
Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition in Chicago, IL

Active since April 17, 2007
2540 S WABASH AVE, CHICAGO, IL 60616(312) 674-9494(312) 674-9595 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Durable Medical Equipment & Medical Supp...
  • Parenteral & Enteral Nutrition

About ST AGNES MEDICAL EQUIPMENT CO INC

This page provides the complete NPI Profile along with additional information for St Agnes Medical Equipment Co Inc, a provider established in Chicago, Illinois operating as a Durable Medical Equipment & Medical Supplies, focusing in parenteral & enteral nutrition . The healthcare provider is registered in the NPI registry with number 1386860864 assigned on April 2007. The practitioner's primary taxonomy code is 332BP3500X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mr. Peter J O'brien Sr. (Vice President)

NPI
1386860864 Verify this NPI
Provider Name
ST AGNES MEDICAL EQUIPMENT CO INC
Entity Type
Organization
Location Address
2540 S WABASH AVE CHICAGO, IL 60616
Location Phone
(312) 674-9494
Location Fax
(312) 674-9595
Mailing Address
1541 N WELLS ST CHICAGO, IL 60610
Mailing Phone
(312) 787-9400
Mailing Fax
(312) 787-9434
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-17-2007
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition

Taxonomy Code
332BP3500X
Type
Suppliers
License State
IL

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. PETER J O'BRIEN SR.

Authorized Official Title
VICE PRESIDENT
Authorized Official Phone
(312) 787-9400

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386860864, enumerated as an "organization" on April 17, 2007.

The provider is located at 2540 S WABASH AVE CHICAGO, IL 60616 and the phone number is (312) 674-9494.

Durable Medical Equipment & Medical Supplies with taxonomy code 332BP3500X and a focus in Parenteral & Enteral Nutrition.