Organization
MEDLINE INDUSTRIES, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MICHAEL BOYLE (AUTHORIZED PERSON)
(844) 265-6512
Entity
Organization
Contact information
Practice address
2200 CORNERSTONE PKWY, GRAYSLAKE, IL 60030-9712
(224) 327-8800
Mailing address
3 LAKES DR, NORTHFIELD, IL 60093-2753
(844) 265-6512
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
203001682
IL
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00
—
NE
05
—
0009052300005
—
PA
05
—
000T0700
—
NM
05
—
001
—
IL
05
—
00410369
—
MS
05
—
00457949A
—
GA
05
—
00680891
—
NY
05
—
021743300
—
FL
05
—
033388300
—
MD
05
—
036021
—
AZ
05
—
0400435
—
OH
05
—
0428930
—
RI
05
—
0623240
—
CA
05
—
100025130A
—
IN
05
—
100441690A
—
KS
05
—
100793800A
—
OK
05
—
100973800A
—
OK
05
—
1021896
—
AK
05
—
143546900
—
WY
05
—
1811997638
—
AL
05
—
1811997638
—
DE
05
—
1811997638
—
IA
05
—
1811997638
—
ID
05
—
1811997638
—
ME
05
—
1811997638
—
MN
05
—
1811997638
—
MT
05
—
1811997638
—
NV
05
—
1811997638
—
UT
05
—
1811997638
—
VA
05
—
1811997638
—
WA
05
—
1811997638
—
WI
05
—
194904716
—
AR
05
—
2429400
—
LA
05
—
3098855
—
NH
05
—
3539772
—
TN
05
—
5096901
—
NJ
05
—
620803601
—
MO
05
—
90032335
—
KY
05
—
98000060
—
CO
Enumeration date
07/22/2005
Last updated
03/04/2022
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