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