Midwest Coach Builders, Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

MIDWEST COACH BUILDERS, INC

Practice address

200 Easy St Ste I
Carol Stream, IL 60188-2399

Phone

(630) 690-1420

Fax

(630) 690-1472

NPI assigned

Apr 17, 2020

Organization subpart

No

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

Authorized official

Name

William Karras

Title

Owner

Phone

(630) 690-1420

Specialties & licenses 1

Addresses

Other names 1

• Mobility Masters, Inc Doing business as

Locations

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

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587081600000",
    "number": "1801416045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 EASY ST STE I",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601882399",
            "telephone_number": "630-690-1420",
            "fax_number": "630-690-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 EASY ST STE I",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601882399",
            "telephone_number": "630-690-1420",
            "fax_number": "630-690-1472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST COACH BUILDERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-17",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A",
        "authorized_official_last_name": "KARRAS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-690-1420"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobility Masters, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mahilat Gizatu Mekonnen, PMHNP-BC
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• Angelo Miele, MD
• Zainab Mirza, PHARM. D.
• Krishna Dipak Modi, DO
• Andrea Lynn Modica, RN

• Customized Equipment (DME) in Carol Stream, IL
• Providers in Carol Stream, IL by specialty
• Customized Equipment (DME) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; 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.