Maxim Bankevich

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MAXIM BANKEVICH

Doing business as

IMDS

Practice address

4235 Commercial Way
Glenview, IL 60025-3573

Phone

(847) 215-5099

Fax

(847) 999-0478

NPI assigned

Jul 8, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Maxim Bankevich

Title

President

Phone

(847) 215-5099

Specialties & licenses 1

Addresses

Other names 1

• IMDS Doing business as

Locations

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

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1407143605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 PORTWINE RD",
            "city": "RIVERWOODS",
            "state": "IL",
            "postal_code": "600153831",
            "telephone_number": "847-215-5099",
            "fax_number": "847-999-0478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4235 COMMERCIAL WAY",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600253573",
            "telephone_number": "847-215-5099",
            "fax_number": "847-999-0478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIM BANKEVICH",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-08",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "BANKEVICH",
        "authorized_official_first_name": "MAXIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-215-5099",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IMDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Glenview, IL
• Providers in Glenview, 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 19, 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.