ST AGNES MEDICAL EQUIPMENT CO INC (NPI# 1386860864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386860864 |
| Entity Type | Organization |
| Organization Name | ST AGNES MEDICAL EQUIPMENT CO INC |
| Practice Address |
2540 S Wabash Ave Chicago IL 60616-2309 |
| Mailing Address |
1541 N Wells St Chicago IL 60610-1307 |
| Practice Telephone | 3126749494 |
| Practice Fax Number | 3126749595 |
| Mailing Telephone | 3127879400 |
| Mailing Fax Number | 3127879434 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. PETER J O'BRIEN SR. (VICE PRESIDENT) |
| Authorized Official Telephone | 3127879400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
IL | Suppliers |
| Street Address |
2540 S WABASH AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60616-2309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558993758 | King Dental, PC | Clinic/Center | 3425 S King Dr, Chicago, IL 60616 | 2020-02-06 |
| 1386286144 | Anais Karel Jackson-gonzalez | Acupuncturist | 2018 S. Michigan Ave., Chicago, IL 60616 | 2019-10-14 |
| 1215499777 | Mashaal F Ikram | Student in an Organized Health Care Education/Training Program | Mercy Hospital and Medical Center, 2525 South Michigan Avenue, Chicago, IL 60616 | 2019-04-03 |
| 1891254223 | Towayn Heaven | Acupuncturist | 2018 S Michigan Ave, Chicago, IL 60616 | 2019-03-15 |
| 1689131518 | Abhishek Santos Pandya | Internal Medicine | 2525 S Michigan Ave., Mercy Hospital and Medical Center, Chicago, IL 60616 | 2019-02-27 |
| 1144703992 | Katelyn Michelle St Martin | Physician Assistant | 2850 S Michigan Ave Ste 100, Chicago, IL 60616 | 2018-09-07 |
| 1902383953 | Healing Empowering & Learning Professionals LLC | Clinic/Center | 2930 S Michigan Ave Ste 100, Chicago, IL 60616 | 2018-07-23 |
| 1437644812 | Puja Bhagwakar | Dentist | 1620 S Michigan Ave Unit 704, Chicago, IL 60616 | 2018-06-27 |
| 1821589110 | David Alexander Sousa Frias | Internal Medicine | 2525 Michigan Ave, Mercy Hospital At Medical Center, Chicago, IL 60616 | 2018-05-23 |
| 1508394933 | Awad Eyecare Sc | Optometrist | 1845 S Michigan Ave Unit 1803, Chicago, IL 60616 | 2017-05-30 |
| Find all providers in zip 60616 | ||||
| Taxonomy Code | 332BP3500X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Parenteral & Enteral Nutrition |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700242971 | Advance Surgical Instruments Inc | Durable Medical Equipment & Medical Supplies | 3350 S Kedzie Ave, Suite 1 B, Chicago, IL 60623-5114 | 2016-01-04 |
| 1619332053 | Pharmascript Inc | Durable Medical Equipment & Medical Supplies | 5437 N Broadway St, Chicago, IL 60640 | 2015-12-30 |
| 1306201868 | Ammon Johnson | Durable Medical Equipment & Medical Supplies | 6831 S Dante Ave, Chicago, IL 60637-4830 | 2015-12-28 |
| 1164775664 | Activstyle, Inc | Durable Medical Equipment & Medical Supplies | 9245 S Ashland Ave, Chicago, IL 60620-5051 | 2012-10-22 |
| 1740351972 | Jackson Corp | Durable Medical Equipment & Medical Supplies | 5130 W Jackson Blvd, Chicago, IL 60644-4332 | 2006-11-10 |
| 1972673234 | Gem Healthcare Management | Durable Medical Equipment & Medical Supplies | 2607 W Glenlake Ave, Suite 101, Chicago, IL 60659-2711 | 2006-11-08 |
| 1386692507 | Medtak Ltd | Durable Medical Equipment & Medical Supplies | 6464 N Central Ave, Chicago, IL 60646-2935 | 2006-05-04 |
| 1407847882 | Activstyle, Inc | Durable Medical Equipment & Medical Supplies | 2139 W 95th St, Chicago, IL 60643-1018 | 2005-11-03 |
| 1063402345 | Del Kar Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 3726 W 16th St, Chicago, IL 60623-2026 | 2005-10-26 |
| 1033285176 | Brady's Pharmacy | Durable Medical Equipment & Medical Supplies | 3237 W 111th St, Chicago, IL 60655-2730 | 2006-11-28 |
| Find all providers in CHICAGO | ||||
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| 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.