Midwest Operating Engineers Health and Welfare Trust Fund

Primary specialty

Mail Order PharmacyTaxonomy code 3336M0002X

License

054.006213 Issued in IL

Legal business name

MIDWEST OPERATING ENGINEERS HEALTH AND WELFARE TRUST FUND

Practice address

6150 Joliet Rd
Countryside, IL 60525-3956

Phone

(708) 482-7300

Fax

(708) 354-2642

NPI assigned

Feb 19, 2007

Last updated

Jun 23, 2008By 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

Mr. David Bodley

Title

Administrative Manager

Phone

(708) 482-7300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1710021092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6150 JOLIET RD",
            "city": "COUNTRYSIDE",
            "state": "IL",
            "postal_code": "605253956",
            "telephone_number": "708-482-7300",
            "fax_number": "708-354-2642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6150 JOLIET RD",
            "city": "COUNTRYSIDE",
            "state": "IL",
            "postal_code": "605253956",
            "telephone_number": "708-482-7300",
            "fax_number": "708-354-2642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST OPERATING ENGINEERS HEALTH AND WELFARE TRUST FUND",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "BODLEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "ADMINISTRATIVE MANAGER",
        "authorized_official_telephone_number": "708-482-7300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "IL",
            "license": "054.006213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mail Order Pharmacy in Countryside, IL
• Providers in Countryside, IL by specialty
• Mail Order Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.