Organization Active NPI

Specialty Wheelchair, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Palatine, IL
National Provider Identifier
1285826560
Registry record updated Aug 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SPECIALTY WHEELCHAIR, INC.
Practice address
742 E Northwest Hwy
Palatine, IL 60074-6353
Phone
(847) 202-4660
Fax
(847) 202-4681
NPI assigned
Aug 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2007

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

Authorized official

Name
Mr. Victor N OdarczenkoNPI 1366489932
Title
President/Ceo
Phone
(847) 202-4660

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

742 E Northwest Hwy
Palatine, IL 60074-6353

Mailing address

742 E. Northwest Hwy.
Palatine, IL 60074
Phone (847) 202-4660

Other identifiers 1

IdentifierTypeStateIssuer
202885030001OtherILPUBLICAID

National Provider Directory

National Provider Directory

Locations

742 E Northwest Hwy
Palatine, IL 60074
Phone (847) 202-4660

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186704000000",
    "number": "1285826560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 E. NORTHWEST HWY.",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "60074",
            "telephone_number": "847-202-4660",
            "fax_number": "847-202-4681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "742 E NORTHWEST HWY",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600746353",
            "telephone_number": "847-202-4660",
            "fax_number": "847-202-4681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY WHEELCHAIR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2007-08-10",
        "status": "A",
        "authorized_official_last_name": "ODARCZENKO",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "847-202-4660",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PUBLICAID",
            "identifier": "202885030001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatine, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2007; 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.