MICHELE A JURKOVIC NPI 1700026929

NPI Information

NPI: 1700026929
Provider Name: MICHELE A JURKOVIC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
2810 DEKALB AVE
SYCAMORE, IL
ZIP 60178
Phone: (815) 758-2020
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MICHELE A JURKOVIC is a durable medical equipment medical supplies in Sycamore, 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. MICHELE A JURKOVIC NPI is 1700026929. The provider is registered as an organization entity type.

The provider's business location address is:

2810 DEKALB AVE
SYCAMORE, IL
ZIP 60178-117
Phone: (815) 758-2020
Fax: (815) 756-8843

The provider's authorized official is Michlele A Jurkovic .
The authorized official title is Owner and has the following contact phone number (815) 758-2020.

The enumeration date for this NPI number is 2/27/2009 and was last updated on 12/9/2011.

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
1	332B00000X	Durable Medical Equipment & Medical Supplies		046008623	ILLINOIS	Yes

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
1	410042315	MEDICARE PIN	ILLINOIS
2	1278920001	MEDICARE NSC	ILLINOIS

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

NPI Synchronization or Removal

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