MOBILITY CENTER OF CHICAGO (NPI# 1912231036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912231036 |
| Entity Type | Organization |
| Organization Name | MOBILITY CENTER OF CHICAGO |
| Other Organization Name | AMIGO MOBILITY CENTER |
| Practice Address |
706 Bloomington Rd Champaign IL 61820-2563 |
| Mailing Address |
17w620 14th St Oakbrook Terrace IL 60181-3768 |
| Practice Telephone | 2173557971 |
| Practice Fax Number | 2173558619 |
| Mailing Telephone | 6302688670 |
| Mailing Fax Number | 6302688667 |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2009-09-22 |
| Authorized Official Name | MARITZA NOEMI MARTINEZ (REIMBURSEMENT MANAGER) |
| Authorized Official Telephone | 6302688670 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 203000634 | IL | Suppliers |
| Other Name | Type Code |
|---|---|
| Amigo Mobility Center | Doing Business As Name - Organization |
| Street Address |
706 BLOOMINGTON RD |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61820-2563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982217345 | Costco Wholesale Corporation | Pharmacy | 2002 N. Neil St., Champaign, IL 61820 | 2020-08-26 |
| 1255963583 | Jamey Richard Bailey | Social Worker | 701 Devonshire Drive, Bldg C, Suite 206, C-6, Champaign, IL 61820 | 2020-02-05 |
| 1790247443 | Jason Abrams | Counselor | 201 W Springfield Ave., Suite 1002-1003, Champaign, IL 61820 | 2019-04-02 |
| 1184100273 | Janine Rafferty | Pharmacist | 2002 N Neil St, Champaign, IL 61820 | 2018-07-12 |
| 1417475070 | Brodbeck Counseling, PC | Community/Behavioral Health | 301 N. Neil Street Suite 323, Champaign, IL 61820 | 2017-09-05 |
| 1447773726 | Quanata M Pelmore | Nurse's Aide | 508 E. Vine St, Champaign, IL 61820 | 2017-07-19 |
| 1821518127 | Molly Mclay | Social Worker | 309 W Clark St., Champaign, IL 61820 | 2017-06-27 |
| 1396265849 | Lou Echols Chambers | Audiologist | 901 South Sixth Street, Chamapign, IL 61820 | 2017-06-26 |
| 1962874495 | Luciana Angelica Guardini | Social Worker | 100 North Chestnut Street, Suite 244, Champaign, IL 61820 | 2015-10-23 |
| 1538544465 | Cpo Services, Inc. | Prosthetic/Orthotic Supplier | 410 E University Ave Ste 105, Champaign, IL 61820 | 2015-07-21 |
| Find all providers in zip 61820 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619213097 | Independence Holding Co LLC | Durable Medical Equipment & Medical Supplies | 14 E Washington St Ste C, Champaign, IL 61820-3677 | 2012-12-12 |
| 1235404245 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1801 W Windsor Rd Ste 101, Champaign, IL 61822 | 2012-03-09 |
| 1558636555 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 101 W University Ave Ste 102, Champaign, IL 61820-3909 | 2012-03-09 |
| 1568754695 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1701 Curtis Rd Ste 1024, Champaign, IL 61822 | 2011-05-09 |
| 1750670808 | Evelyn Marie Moore O.d., P.C. | Durable Medical Equipment & Medical Supplies | 501 S Mattis Ave, Suite B, Champaign, IL 61821-4274 | 2011-03-29 |
| 1992957633 | Carle Clinic Association, PC | Durable Medical Equipment & Medical Supplies | 1701 E Curtis Rd, Champaign, IL 61822-9678 | 2008-10-14 |
| 1023167624 | Confidentially Yours, Inc | Durable Medical Equipment & Medical Supplies | 1808 Round Barn Rd Ste B, Champaign, IL 61821-6817 | 2007-01-10 |
| 1982782249 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 602 S Staley Rd, Ste A, Champaign, IL 61822-9674 | 2006-11-02 |
| 1669487773 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2402 Village Green Pl, Champaign, IL 61822-7681 | 2006-07-29 |
| 1871510156 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2610 N Prospect Ave, Champaign, IL 61822-1251 | 2006-07-16 |
| Find all providers in CHAMPAIGN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.