DIABETIC SUPPLY CENTER NPI 1497007595

NPI Information

  • NPI: 1497007595
  • Provider Name: DIABETIC SUPPLY CENTER
  • Classification: Prosthetic/Orthotic Supplier - 335E00000X
  • Entity Type: Organization
  • Address: 6506 CERMAK RD
    BERWYN, IL
    ZIP 60402
  • Phone: (616) 835-3304

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NPI Details

DIABETIC SUPPLY CENTER is a prosthetic orthotic supplier in Berwyn, IL. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. DIABETIC SUPPLY CENTER NPI is 1497007595. The provider is registered as an organization entity type.

The provider's business location address is:

6506 CERMAK RD
BERWYN, IL
ZIP 60402-323
Phone: (616) 835-3304
Fax: (312) 962-5724

The provider's authorized official is Dallas Powers .
The authorized official title is Managing Partner and has the following contact phone number (616) 835-3304.

The enumeration date for this NPI number is 10/12/2012 and was last updated on 10/12/2012.

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
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized Equipment212.000175ILLINOISNo
2332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition212.000175ILLINOISNo
3332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies212.000175ILLINOISNo
4335E00000XProsthetic/Orthotic Supplier212.000175ILLINOISYes

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: 11/21/2025

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