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Organization Active NPI

Mirab Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Wheeling, IL
National Provider Identifier
1528245776
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MIRAB MEDICAL SUPPLY
Practice address
309 E Dundee Rd
Wheeling, IL 60090-3107
Phone
(847) 392-8080
NPI assigned
Jan 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Zhanna Shnaydershteyn
Title
Owner
Phone
(847) 392-8080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X IL Primary

Addresses

Primary practice location

309 E Dundee Rd
Wheeling, IL 60090-3107

Mailing address

309 E Dundee Rd
Wheeling, IL 60090-3107
Phone (847) 392-8080

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1528245776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 E DUNDEE RD",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600903107",
            "telephone_number": "847-392-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 E DUNDEE RD",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600903107",
            "telephone_number": "847-392-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRAB MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SHNAYDERSHTEYN",
        "authorized_official_first_name": "ZHANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-392-8080",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.