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Kingsway Ent. Inc
Prosthetic/Orthotic Supplier in Aurora, Illinois
NPI 1639232390

Kingsway Ent. Inc is a Prosthetic/Orthotic Supplier based in Aurora, IL. Kingsway Ent. Inc practices in Aurora, IL. The NPI Number for Kingsway Ent. Inc is 1639232390 and holds a License No. 054015027 (Illinois).

The current practice location address for Kingsway Ent. Inc is 1677 Montgomery Rd, Aurora, IL and can be reached out via phone at 630-236-9502 and via fax at 630-236-9512.

Location: 1677 Montgomery Rd, Aurora, IL, 60504-8802
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639232390
Provider Name
Kingsway Ent. Inc
Credential
Provider Entity Type
Organization
Address
1677 Montgomery Rd, Aurora, IL, 60504-8802
Phone Number
630-236-9502
Fax Number
630-236-9512
Provider Enumeration Date
12/17/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1476426 01 NCPDP
institution
Provider Business Practice Location Address Details
Address
1677 Montgomery Rd
City
Aurora
State
Illinois
Zip
60504-8802
Phone Number
630-236-9502
Fax Number
630-236-9512
person
Provider Business Mailing Address Details
Address
1677 Montgomery Rd
City
Aurora
State
Illinois
Zip
60504-8802
Phone Number
630-236-9502
Fax Number
630-236-9512
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
(Illinois)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
054015027 (Illinois)
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
054015027 (Illinois)
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
054015027 (Illinois)
Definition
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.
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