MIDWEST HOME MEDICAL SUPPLIES LTD. NPI 1477867778

NPI Information

NPI: 1477867778
Provider Name: MIDWEST HOME MEDICAL SUPPLIES, LTD.
Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
Entity Type: Organization

Specialization: Oxygen Equipment & Supplies

Address:
111 ERICK ST
UNIT 128
CRYSTAL LAKE, IL
ZIP 60014
Phone: (815) 788-3272
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MIDWEST HOME MEDICAL SUPPLIES, LTD. is an oxygen equipment and supplies durable medical equipment medical supplies in Crystal Lake, IL. MIDWEST HOME MEDICAL SUPPLIES, LTD. NPI is 1477867778. The provider is registered as an organization entity type.

The provider's business location address is:

111 ERICK ST
UNIT 128
CRYSTAL LAKE, IL
ZIP 60014-305
Phone: (815) 788-3272
Fax: (815) 788-3282

The provider's authorized official is Kelly Daehler .
The authorized official title is President and has the following contact phone number (815) 788-3272.

The enumeration date for this NPI number is 7/29/2010 and was last updated on 4/21/2011.

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
1	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies		ILLINOIS	Yes

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
1	6501390001	MEDICARE PIN	ILLINOIS

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: 11/14/2023

NPI Synchronization or Removal

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