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INNOVATIVE MEDICAL CONSULTING NPI 1164093712


NPI Information

NPI: 1164093712
Provider Name: INNOVATIVE MEDICAL CONSULTING
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
19070 EVERETT BLVD UNIT 204
MOKENA, IL
ZIP 60448
Phone: (708) 390-3362
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INNOVATIVE MEDICAL CONSULTING is a durable medical equipment medical supplies in Mokena, IL. The provider is 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. INNOVATIVE MEDICAL CONSULTING NPI is 1164093712. The provider is registered as an organization entity type.

The provider's business location address is:

19070 EVERETT BLVD UNIT 204
MOKENA, IL
ZIP 60448-073
Phone: (708) 390-3362

The provider's authorized official is James D Judge .
The authorized official title is Oner and has the following contact phone number (708) 478-1706.

The enumeration date for this NPI number is 7/6/2021 and was last updated on 11/20/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
19999999OTHERILLINOISPRIVATE
270873903362OTHERILLINOISNPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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