Organization Active NPI

Mobility Systems & Solutions, Inc.

  • Customized Equipment (DME)
  • Hickory Hills, IL
National Provider Identifier
1528130267
Registry record updated Jun 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
203.00263 Issued in IL
Legal business name
MOBILITY SYSTEMS & SOLUTIONS, INC.
Practice address
9755 South 78TH Avenue
Hickory Hills, IL 60457
Phone
(708) 599-3500
Fax
(708) 599-3700
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2018

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

Authorized official

Name
Mr. John D. Vranicar, ATP
Title
President
Phone
(708) 599-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 203.00263 IL Primary

Addresses

Primary practice location

9755 South 78TH Avenue
Hickory Hills, IL 60457

Mailing address

9755 South 78TH Avenue
Hickory Hills, IL 60457-2301
Phone (708) 599-3500

Other identifiers 1

IdentifierTypeStateIssuer
21622172OtherILBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930040921 IL DME Supplier - Medical Supply Company 6608987961 Practice locations: Hickory Hills, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Mobility Systems and Solutions Inc9755 S 78TH Ave, Hickory Hills, IL 60457-2301(708) 599-3500 Pneumatic Compression Devices and/or Supplies|Patient Lifts|Power Operated Vehicles (Scooters)|Seat Lift Mechanisms|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchairs (Standard Power)|Wheelchairs (Standard Power Related Accessories)|Wheelchairs (Comp… Does not accept assignmentParticipating since Feb 8, 2001

National Provider Directory

National Provider Directory

Locations

9755 S 78th Ave
Hickory Hills, IL 60457
Phone (708) 599-3500

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529884800000",
    "number": "1528130267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9755 SOUTH 78TH AVENUE",
            "city": "HICKORY HILLS",
            "state": "IL",
            "postal_code": "604572301",
            "telephone_number": "708-599-3500",
            "fax_number": "708-599-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9755 SOUTH 78TH AVENUE",
            "city": "HICKORY HILLS",
            "state": "IL",
            "postal_code": "60457",
            "telephone_number": "708-599-3500",
            "fax_number": "708-599-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILITY SYSTEMS & SOLUTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2018-06-25",
        "status": "A",
        "authorized_official_last_name": "VRANICAR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-599-3500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ATP"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "IL",
            "license": "203.00263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "21622172",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.