Mbw700

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MBW700

Practice address

11319 S Harlem Ave
Worth, IL 60482-2001

Phone

(913) 526-5282

NPI assigned

Apr 12, 2021

Last updated

Apr 12, 2021By 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

Keri Tarantino

Title

Authorized Agent

Phone

(913) 526-5282

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618185600000",
    "number": "1518547728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11319 S HARLEM AVE",
            "city": "WORTH",
            "state": "IL",
            "postal_code": "604822001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11319 S HARLEM AVE",
            "city": "WORTH",
            "state": "IL",
            "postal_code": "604822001",
            "telephone_number": "913-526-5282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBW700",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A",
        "authorized_official_last_name": "TARANTINO",
        "authorized_official_first_name": "KERI",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "913-526-5282"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Maguire
• Jennifer Marshall, LMT
• Veronica Martinez
• Hala Mashni, PHARMD
• Sana A Matarieh, L.C.P.C.
• Lauren Elizabeth McAlister, RBT
• Medicad DME LLC
• Jennifer L Meehan, MASSAGE THERAPIST
• Jennifer Melcher, APN
• Daniel Meus, O.D.

• Durable Medical Equipment & Medical Supplies in Worth, IL
• Providers in Worth, 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 Apr 12, 2021; 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.