MB Care Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

203000226 Issued in IL

Legal business name

MB CARE MEDICAL SUPPLY INC

Practice address

318 W Madison Avenue
Suite 1
Maywood, IL 60153

Phone

(708) 615-0860

Fax

(708) 615-0876

NPI assigned

Oct 17, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Eugene Gilmanov

Title

President of MB Care Medical Supply

Phone

(708) 615-0860

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384992000000",
    "number": "1346320041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 W MADISON AVENUE",
            "address_2": "SUITE M",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "60153",
            "telephone_number": "708-615-0860",
            "fax_number": "708-615-0876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 W MADISON AVENUE",
            "address_2": "SUITE 1",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "60153",
            "telephone_number": "708-615-0860",
            "fax_number": "708-615-0876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MB CARE MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2013-11-21",
        "status": "A",
        "authorized_official_last_name": "GILMANOV",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT OF MB CARE MEDICAL SUPPLY",
        "authorized_official_telephone_number": "708-615-0860",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "203000226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BS OF ILLINOIS",
            "identifier": "01620637",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maywood Family Dental, LTD
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• Maywood Pharmacy Inc
• Maywood SLF I LP
• Alaleh Mazhari, D.O.
• Lindsey McAlarnen, M.D.
• Cristal McAninch, MS, CGC
• Sean Patric McBrayer, MD
• Derek McCleaf, MD
• Brooke McCollum, MD

• Durable Medical Equipment & Medical Supplies in Maywood, IL
• Providers in Maywood, 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 Nov 21, 2013; 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.