Mobility Connection, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

203.000100 Issued in IL

Legal business name

MOBILITY CONNECTION, INC.

Practice address

4100 E. State Street
Rockford, IL 61108-2008

Phone

(815) 544-9600

Fax

(815) 544-5513

NPI assigned

Aug 19, 2006

Last updated

Sep 4, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Roger G. Lichty

Title

Owner

Phone

(815) 544-9600

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346716800000",
    "number": "1225142813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 E. STATE STREET",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082008",
            "telephone_number": "815-544-9600",
            "fax_number": "815-544-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 E. STATE STREET",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082008",
            "telephone_number": "815-544-9600",
            "fax_number": "815-544-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILITY CONNECTION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2012-09-04",
        "status": "A",
        "authorized_official_last_name": "LICHTY",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-544-9600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "203.000100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF ILLINOIS ID",
            "identifier": "10115182",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Shahid Mohammad, DO

• Durable Medical Equipment & Medical Supplies in Rockford, IL
• Providers in Rockford, 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 Sep 4, 2012; 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.