Healther Providers Data Logo


Provider Type Icon

MIRACLE MEDICAL SUPPLY AND BILLING NPI 1104912138


NPI Information

NPI: 1104912138
Provider Name: MIRACLE MEDICAL SUPPLY AND BILLING

Doing Business As: MIRACLE MEDICAL SUPPLY

Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
175 N MILWAUKEE AVE STE 300
VERNON HILLS, IL
ZIP 60061
Phone: (847) 276-2838
Get Directions

MIRACLE MEDICAL SUPPLY AND BILLING is a customized equipment durable medical equipment medical supplies in Vernon Hills, IL. MIRACLE MEDICAL SUPPLY AND BILLING NPI is 1104912138. The provider is registered as an organization entity type.
The provider Is Doing Business As Miracle Medical Supply.

The provider's business location address is:

175 N MILWAUKEE AVE STE 300
VERNON HILLS, IL
ZIP 60061-302
Phone: (847) 276-2838
Fax: (847) 276-2839

The provider's authorized official is Dmitry Feldman .
The authorized official title is Owner and has the following contact phone number (847) 276-2838.

The enumeration date for this NPI number is 10/5/2006 and was last updated on 4/20/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14814390002MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
2=========001MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
Remove or sync iconNPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI
Next NPI »