Provider Demographics
NPI:1114194115
Name:WHEELCHAIR SALES AND SERVICES
Entity Type:Organization
Organization Name:WHEELCHAIR SALES AND SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:DOWNS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-545-6337
Mailing Address - Street 1:14001 W ILLINOIS HWY
Mailing Address - Street 2:
Mailing Address - City:NEW LENOX
Mailing Address - State:IL
Mailing Address - Zip Code:60451-3282
Mailing Address - Country:US
Mailing Address - Phone:800-545-6337
Mailing Address - Fax:815-462-3748
Practice Address - Street 1:2470 N DECATUR BLVD STE 115
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89108-2983
Practice Address - Country:US
Practice Address - Phone:702-869-8300
Practice Address - Fax:702-221-8308
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WHEELCHAIR SALES AND SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-05-09
Last Update Date:2009-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL203000320332B00000X
NVH13002925127424332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100509543Medicaid
NV1193110002Medicare NSC