Mobile Enrichment Services, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

MOBILE ENRICHMENT SERVICES, LLC

Practice address

385 Millennium Dr
Crystal Lake, IL 60012-3761

Phone

(847) 816-7200

Fax

(847) 816-7210

NPI assigned

Jun 3, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jason Kotas

Title

Cfo

Phone

(224) 413-3927

Specialties & licenses 2

Addresses

Tax ID family

Mobile Enrichmant Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mobile Enrichmant Services

  • Speech-Language Pathologist
  • Vernon Hills, IL
  • NPI 1871719245
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1307059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707436800000",
    "number": "1073807319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "854 TECHNOLOGY WAY",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485350",
            "telephone_number": "847-816-7200",
            "fax_number": "847-816-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 MILLENNIUM DR",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600123761",
            "telephone_number": "847-816-7200",
            "fax_number": "847-816-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE ENRICHMENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-03",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A",
        "authorized_official_last_name": "KOTAS",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "224-413-3927"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.007545",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindset Mental Health Center, Inc.
• Mintcho Elinov Mintchev, DO
• Tony Louis Minutillo, D.D.S., M.S.D.
• Margaret Misiolek, LPC
• Sara Irene Mitchinson, M.A.,CCC-SLP/L
• Nicole Elizabeth Mogged, PHARMD
• Irfan K Moinuddin, M.D.
• Momme Wellness LLC
• Alan Joseph Mongin
• Judith Mongoum Pene, FNP

• Multi-Specialty Clinic/Center in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Multi-Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.