| Organization Name: | DOMININCKS FINER FOODS LLC |
| NPI Number: | 1760401798 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHELLE A RIVERS (MANAGED CARE ANALYST) |
| Mailing Address: | Hawthorne Village Commons Vernon Hills |
| State: | IL US |
| Postal Code: | 60061 |
| Phone Number: | 8479189626 |
| Fax Number: | 8472470946 |
| NPI Enumeration Date: | 07/19/2006 |
| NPI Last Update Date: | 11/07/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | 054013040 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy 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 |