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KOFFEL MEDICAL SUPPLY INC NPI 1821088964


NPI Information

NPI: 1821088964
Provider Name: KOFFEL MEDICAL SUPPLY INC
Classification: Durable Medical Equipment & Medical Supplies - 332BD1200X
Entity Type: Organization

Specialization: Dialysis Equipment & Supplies

Address:
1003 W PARK AVE
LIBERTYVILLE, IL
ZIP 60048
Phone: (847) 816-8000
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KOFFEL MEDICAL SUPPLY INC is a dialysis equipment and supplies durable medical equipment medical supplies in Libertyville, IL. KOFFEL MEDICAL SUPPLY INC NPI is 1821088964. The provider is registered as an organization entity type.

The provider's business location address is:

1003 W PARK AVE
LIBERTYVILLE, IL
ZIP 60048-550
Phone: (847) 816-8000
Fax: (847) 816-8606

The provider's authorized official is John W Koffel .
The authorized official title is President and has the following contact phone number (847) 816-8000.

The enumeration date for this NPI number is 10/27/2005 and was last updated on 8/22/2020.


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
1332BD1200XDurable Medical Equipment & Medical SuppliesDialysis Equipment & SuppliesILLINOISYes

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
159379MEDICAIDNORTH DAKOTA
24581798MEDICAIDTENNESSEE
31531235MEDICAIDLOUISIANA
400673978XMEDICAIDGEORGIA
50877243MEDICAIDOHIO
690002692MEDICAIDKENTUCKY
70440301MEDICAIDMISSISSIPPI
80701390MEDICAIDDISTRICT OF COLUMBIA
90944694MEDICAIDIOWA
103742601MEDICAIDNEW JERSEY

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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