PACK MACHINE INCORPORATED (NPI# 1992290647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992290647 |
Entity Type | Organization |
Organization Name | PACK MACHINE INCORPORATED |
Other Organization Name | N/A |
Practice Address |
307 W Saint Paul St Spring Valley IL 61362-1860 |
Practice Telephone | 3123156584 |
Mailing Telephone | 3123156584 |
Enumeration Date | 2018-06-26 |
Last Update Date | 2018-06-26 |
Authorized Official Name | MR. EDGAR ALEXANDER BARRIOS (PRESIDENT) |
Authorized Official Telephone | 3123156584 |
Authorized Official Credential | PEDORTHIST |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
212000132 | IL | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | ILLINOIS LICENSE | 212000132 | 01 |
Other Name | Type Code |
---|---|
N/A | Other Name - Individual/Organization |
Street Address |
307 W SAINT PAUL ST |
City | SPRING VALLEY |
State | IL |
Zip Code | 61362-1860 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386139145 | Edgar Alexander Barrios | Pedorthist | 307 W Saint Paul St, Spring Valley, IL 61362-1860 | 2018-06-25 |
1013536622 | Animate Pedorthics Orthotics & Prosthetics LLC | Orthotic Fitter | 307 W Saint Paul St, Spring Valley, IL 61362-1860 | 2020-04-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831275007 | Paul P Velamparampil | General Practice | 200 West Saint Paul Street, Spring Valley, IL 61362 | 2006-10-31 |
1942392212 | Atul K Sheth | Psychiatry & Neurology | 301 West Dakota St, Spring Valley, IL 61362 | 2006-09-28 |
1265548192 | Dialysis Centers of America - Illinois, Inc. | Clinic/Center | 12 Wolfer Industrial Drive, Spring Valley, IL 61362 | 2006-08-22 |
1316904964 | Illinois Urologic Health Surgeons Sc | Urology | 600 East First Street, Spring Valley, IL 61362 | 2006-04-27 |
1225005440 | Ram S. Pankaj | Orthopaedic Surgery | 600 E First Street, Spring Valley, IL 61362 | 2006-03-07 |
1649285362 | Rosemary B Valencia | Pediatrics | 600 E First Street, Spring Valley, IL 61362 | 2006-07-30 |
1851349435 | Steve Yunyoung Chung | Urology | 600 East First Street, Spring Valley, IL 61362 | 2006-05-05 |
1124085758 | Christian Bennett Schwartz | Urology | 600 East First Street, Spring Valley, IL 61362 | 2006-04-27 |
1033197207 | Valley Cancer Center | Radiology | 600 E 1st St, Spring Valley, IL 61362 | 2006-01-06 |
1053447102 | Lisa Ann Kelty | Physical Therapist | 4 Oak Ridge Dr, Spring Valley, IL 61362-1043 | 2007-02-25 |
Find all providers in zip 61362 |
Taxonomy Code | 332BC3200X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
Specialization | Customized Equipment |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619489044 | Medequipped LLC | Durable Medical Equipment & Medical Supplies | 9 Perlman Dr Ste 202, Spring Valley, NY 10977-5281 | 2017-10-25 |
1972921138 | Top Medical Supplies | Durable Medical Equipment & Medical Supplies | 2 Perlman Dr, Stu Ll13, Spring Valley, NY 10977-5245 | 2014-04-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649894528 | Sleepsafellc | Durable Medical Equipment & Medical Supplies | 701 Lee St Ste 640, Des Plaines, IL 60016-4548 | 2020-06-05 |
1801416045 | Midwest Coach Builders, Inc | Durable Medical Equipment & Medical Supplies | 200 Easy St Ste I, Carol Stream, IL 60188-2399 | 2020-04-17 |
1154962389 | Windy City Medtek LLC | Durable Medical Equipment & Medical Supplies | 1305 Remington Rd Ste E, Schaumburg, IL 60173-4820 | 2019-09-29 |
1811452501 | Medequip, Inc | Durable Medical Equipment & Medical Supplies | 2863 95th St Ste 143, Naperville, IL 60564-9006 | 2019-02-06 |
1760951818 | Always Great Smiles Dot Com PC | Durable Medical Equipment & Medical Supplies | 586 Duane St, Glen Ellyn, IL 60137-4639 | 2018-11-19 |
1285123349 | Sleep Better Illinois LLC | Durable Medical Equipment & Medical Supplies | 261 N Randall Rd Ste 103, Lake In The Hills, IL 60156-5999 | 2018-05-04 |
1588151302 | Rinella Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 27w130 Roosevelt Rd # 2e, Winfield, IL 60190-1611 | 2018-04-17 |
1205353695 | Nutoys Leisure Products, Inc. | Durable Medical Equipment & Medical Supplies | 915 W Hillgrove Ave, La Grange, IL 60525-5823 | 2017-08-25 |
1528509833 | International Medical Equipment Distributors LLC | Durable Medical Equipment & Medical Supplies | 8501 W Higgins Rd Ste 710, Chicago, IL 60631-2883 | 2017-03-20 |
1508303553 | Kasper Healthcare Enterprises, Inc | Durable Medical Equipment & Medical Supplies | 11535 183rd Pl, Orland Park, IL 60467-4905 | 2017-01-30 |
Find all providers with the same taxonomy |
City | SPRING VALLEY |
Zip Code | 61362 |
Please comment or provide details below to improve the information on PACK MACHINE INCORPORATED.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.