Active NPI
Specialty Wheelchair, Inc.
- Durable Medical Equipment & Medical Supplies
- Palatine, IL
National Provider Identifier
1285826560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Victor N Odarczenko
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202885030001 | Other | IL | PUBLICAID |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Specialist
- Palatine, IL
- NPI 1366489932
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.