Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kingsway ENT Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1639232390

Kingsway ENT Inc is a Durable Medical Equipment & Medical Supplies in Aurora, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1677 Montgomery Rd Ste 110-112
Aurora, IL 60504-8802
Phone: (630) 236-9502
Fax: (630) 236-9512
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 054015027 (IL)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X · Licence 054015027 (IL)
Compounding Pharmacy Taxonomy 3336C0004X · Licence 054015027 (IL)
Prosthetic/Orthotic Supplier Taxonomy 335E00000X (IL)

Record details

NPI number1639232390
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richmond Nimako-Boateng — President · (630) 236-9502
Other names Kingsway Pharmacy
NPI enumeratedDecember 17, 2006
Last updated in NPPESSeptember 9, 2010
Mailing address1677 Montgomery Rd, Suite 110-112, Aurora, IL 60504-8802

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