Provider Demographics
NPI:1164745576
Name:THE BIKE RACK
Entity Type:Organization
Organization Name:THE BIKE RACK
Other - Org Name:CREATIVE MOBILITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:
Authorized Official - Last Name:HONEYMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-587-8100
Mailing Address - Street 1:2930 CAMPTON HILLS DR
Mailing Address - Street 2:
Mailing Address - City:ST CHARLES
Mailing Address - State:IL
Mailing Address - Zip Code:60175-1087
Mailing Address - Country:US
Mailing Address - Phone:630-584-6588
Mailing Address - Fax:630-584-1295
Practice Address - Street 1:2930 CAMPTON HILLS DR
Practice Address - Street 2:
Practice Address - City:ST CHARLES
Practice Address - State:IL
Practice Address - Zip Code:60175-1087
Practice Address - Country:US
Practice Address - Phone:630-584-6588
Practice Address - Fax:630-584-1295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-12
Last Update Date:2010-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment