Miracle Medical Supply and Billing

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

MIRACLE MEDICAL SUPPLY AND BILLING

Practice address

175 N Milwaukee Ave Ste 300
Vernon Hills, IL 60061-4302

Phone

(847) 276-2838

Fax

(847) 276-2839

NPI assigned

Oct 5, 2006

Organization subpart

No

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

Authorized official

Name

Dmitry Feldman

Title

Owner

Phone

(847) 276-2838

Specialties & licenses 1

Addresses

Other names 1

• Miracle Medical Supply Doing business as

Locations

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1104912138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 N MILWAUKEE AVE STE 300",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600614302",
            "telephone_number": "847-276-2838",
            "fax_number": "847-276-2839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 N MILWAUKEE AVE STE 300",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600614302",
            "telephone_number": "847-276-2838",
            "fax_number": "847-276-2839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE MEDICAL SUPPLY AND BILLING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "FELDMAN",
        "authorized_official_first_name": "DMITRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-276-2838"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miracle Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Geri Millunchick, DT
• Narine Milter, APRN
• Leslie Ann Minor-Wanna, M.A., CCC-SLP
• Julia C Mintz, PA-C
• Miracle Medical Supply
• Duaa Misidia
• Andres Misquez, MSW, LCSW
• Mobile Enrichmant Services
• Cynthia Neri Molina, RPH
• Molloy Chiropractic Center LTD

• Customized Equipment (DME) in Vernon Hills, IL
• Providers in Vernon Hills, IL by specialty
• Customized Equipment (DME) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.