NISSI CORPORATION


Address: 782 S Randall Rd, Algonquin, IL 60102-5915
Phone: 8476588500

NISSI CORPORATION (NPI# 1366608325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366608325
Entity Type Organization
Organization Name NISSI CORPORATION
Other Organization Name THE GOOD FEET STORE
Practice Address 782 S Randall Rd
Algonquin
IL 60102-5915
Practice Telephone 8476588500
Practice Fax Number 8476588858
Mailing Telephone 8476588500
Mailing Fax Number 8476588858
Enumeration Date 2008-07-30
Last Update Date 2008-07-30
Authorized Official Name MR. LAWRENCE EDWARD BUCKMAN III (PRESIDENT)
Authorized Official Telephone 8476588500
Authorized Official Credential CERT. PEDORTHIST
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332B00000X Durable Medical Equipment & Medical Supplies Suppliers

Other Provider/Organization Names

Other Name Type Code
The Good Feet Store Doing Business As Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names NISSI CORPORATION 1649 1/2 Carnahan Dr, Grants Pass, OR 97527

Office Location

Street Address 782 S RANDALL RD
City ALGONQUIN
State IL
Zip Code 60102-5915

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Taxonomy Information

Taxonomy Code 332B00000X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies

Taxonomy Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821584574 Willis Durable Medical Equipment Durable Medical Equipment & Medical Supplies 1363 Essex St, Algonquin, IL 60102-5301 2018-07-05
1356688584 Mercy Health System Corporation Durable Medical Equipment & Medical Supplies 2537 W Algonquin Rd, Algonquin, IL 60102-9403 2013-01-08
1770867954 Northern Illinois Medical Center Durable Medical Equipment & Medical Supplies 1118 North Main Street, Algonquin, IL 60102-3482 2011-10-05
1699847723 Mercy Health System Corporation Durable Medical Equipment & Medical Supplies 2401 Harnish Dr, Algonquin, IL 60102-6846 2006-11-14
1104831213 Walgreen Co Durable Medical Equipment & Medical Supplies 4001 W Algonquin Rd, Algonquin, IL 60102-9401 2006-07-29
1124045422 Walmart Inc. Durable Medical Equipment & Medical Supplies 1410 S Randall Rd, Algonquin, IL 60102-5919 2006-07-16
1023053717 Life Star Medical Supplies Durable Medical Equipment & Medical Supplies 2308 Poets Ln, Algonquin, IL 60102-6650 2006-06-18
1043266570 American Drug Stores LLC Durable Medical Equipment & Medical Supplies 107 S Randall Rd, Algonquin, IL 60102 2006-05-26
1740236660 American Drug Stores LLC Durable Medical Equipment & Medical Supplies 1501 E Algonquin Rd, Algonquin, IL 60102 2006-05-25
1023497823 Northern Illinois Medical Center Durable Medical Equipment & Medical Supplies 1118 N Main St, Algonquin, IL 60102-3482 2015-05-26
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Competitor

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City ALGONQUIN
Zip Code 60102

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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