Whaba Medical, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

332B00000X Issued in IL

Legal business name

WHABA MEDICAL, INC.

Practice address

870 W Lake St
Suite 702
Roselle, IL 60172-2893

Phone

(630) 893-9554

Fax

(630) 893-9568

NPI assigned

Jul 14, 2005

Organization subpart

No

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

Authorized official

Name

Mr. William Soon Whang

Title

President

Phone

(630) 893-9554

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1093714719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 W LAKE ST",
            "address_2": "SUITE 702",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601722893",
            "telephone_number": "630-893-9554",
            "fax_number": "630-893-9568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 W LAKE ST",
            "address_2": "SUITE 702",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601722893",
            "telephone_number": "630-893-9554",
            "fax_number": "630-893-9568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHABA MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-14",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "WHANG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "SOON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-893-9554",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "332B00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Roselle, IL
• Providers in Roselle, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.