Organization Active NPI

Midwest Medical Supply & Equipment, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Chicago, IL
National Provider Identifier
1912040221
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
MIDWEST MEDICAL SUPPLY & EQUIPMENT, INC.
Practice address
1152 South Mayfield Street
Chicago, IL 60644-5356
Phone
(773) 729-1102
Fax
(708) 449-7962
NPI assigned
Feb 15, 2007
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
Mr. Ali M Dajani
Title
Owner
Phone
(773) 729-1102

Specialties & licenses 1

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

Addresses

Primary practice location

1152 South Mayfield Street
Chicago, IL 60644-5356

Mailing address

1152 S. Mayfield St.
Chicago, IL 60644-5356
Phone (773) 729-1102

National Provider Directory

National Provider Directory

Locations

1152 S Mayfield Ave
Chicago, IL 60644
Phone (773) 729-1102

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1912040221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1152 S. MAYFIELD ST.",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606445356",
            "telephone_number": "773-729-1102",
            "fax_number": "708-449-7962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1152 SOUTH MAYFIELD STREET",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606445356",
            "telephone_number": "773-729-1102",
            "fax_number": "708-449-7962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST MEDICAL SUPPLY & EQUIPMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DAJANI",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-729-1102",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, 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.