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ELMHURST MEMORIAL HEALTHCARE NPI 1134311251


NPI Profile

NPI: 1134311251
Provider Name: ELMHURST MEMORIAL HEALTHCARE

Doing Business As: ELMURST CLINIC

Classification:Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 14D0662750

Address:
471 W ARMY TRAIL ROAD
BLOOMINGDALE, IL
ZIP 60108
Get Directions

Phone: (630) 671-8020

ELMHURST MEMORIAL HEALTHCARE is a durable medical equipment medical supplies in Bloomingdale, 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. ELMHURST MEMORIAL HEALTHCARE NPI is 1134311251. The provider is registered as an organization entity type.
The provider Is Doing Business As Elmurst Clinic.

The provider's business location address is:

471 W ARMY TRAIL ROAD
BLOOMINGDALE, IL
ZIP 60108-673
Phone: (630) 671-8020
Fax: (630) 671-8021

The provider's authorized official is Donald R Lurye .
The authorized official title is Ceo and has the following contact phone number (630) 834-1120.

The CLIA number assigned to this NPI record is 14D0662750 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/13/2007 and was last updated on 3/15/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1610600MEDICARE PINILLINOIS
22215149OTHERILLINOISBCBS OF IL
30398570006MEDICARE NSC
40398570006MEDICARE NSCILLINOIS

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: 6/14/2021

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