MEDSTATE INC. NPI 1093059792

NPI Information

NPI: 1093059792
Provider Name: MEDSTATE INC.
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
496 S BEACON LN
ROUND LAKE, IL
ZIP 60073
Phone: (847) 740-2774
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MEDSTATE INC. is a durable medical equipment medical supplies in Round Lake, 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. MEDSTATE INC. NPI is 1093059792. The provider is registered as an organization entity type.

The provider's business location address is:

496 S BEACON LN
ROUND LAKE, IL
ZIP 60073-408
Phone: (847) 740-2774
Fax: (847) 201-2578

The provider's authorized official is Ireneo Ongcal .
The authorized official title is President and has the following contact phone number (847) 962-0688.

The enumeration date for this NPI number is 11/19/2012 and was last updated on 11/19/2012.

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		68750911	ILLINOIS	Yes

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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