Organization Active NPI

Skyline MBC Inc

  • Durable Medical Equipment & Medical Supplies
  • Villa Park, IL
National Provider Identifier
1205728391
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SKYLINE MBC INC
Practice address
17W772 14TH St
Villa Park, IL 60181-3722
Phone
(630) 290-4035
NPI assigned
Jul 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Authorized official

Name
Abdul Nasir
Title
Ceo
Phone
(630) 290-4035

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

17W772 14TH St
Villa Park, IL 60181-3722

Mailing address

17W772 14TH St
Villa Park, IL 60181-3722

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1752537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752537600000",
    "number": "1205728391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17W772 14TH ST",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601813722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17W772 14TH ST",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601813722",
            "telephone_number": "630-290-4035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLINE MBC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-15",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A",
        "authorized_official_last_name": "NASIR",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "630-290-4035"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Villa Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.