Mobility Center of Chicago

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

203000634 Issued in IL

Legal business name

MOBILITY CENTER OF CHICAGO

Doing business as

Amigo Mobility Center

Practice address

706 Bloomington Rd
Champaign, IL 61820-2563

Phone

(217) 355-7971

Fax

(217) 355-8619

NPI assigned

Sep 22, 2009

Last updated

Sep 22, 2009By 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

Maritza Noemi Martinez

Title

Reimbursement Manager

Phone

(630) 268-8670

Specialties & licenses 1

Addresses

Other names 1

• Amigo Mobility Center Doing business as

Locations

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253577600000",
    "number": "1912231036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17W620 14TH ST",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813768",
            "telephone_number": "630-268-8670",
            "fax_number": "630-268-8667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 BLOOMINGTON RD",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618202563",
            "telephone_number": "217-355-7971",
            "fax_number": "217-355-8619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILITY CENTER OF CHICAGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-22",
        "last_updated": "2009-09-22",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "MARITZA",
        "authorized_official_middle_name": "NOEMI",
        "authorized_official_title_or_position": "REIMBURSEMENT MANAGER",
        "authorized_official_telephone_number": "630-268-8670"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "203000634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amigo Mobility Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Blair Elizabeth Mitchell-Handley, MD
• Breanna Mitchell, RBT
• Lori S Mitchell
• Curtis R Mitchem, DMD
• Hilda Mkwezalamba
• Lora D Mock, PT
• Amy Modrzejewski, CCC-SLP/L
• Kevin Moehn
• Othman Mahmoud Mohammad, MD
• Shadi Mohebi

• Durable Medical Equipment & Medical Supplies in Champaign, IL
• Providers in Champaign, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; 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.