Provider Demographics
NPI:1801416045
Name:MIDWEST COACH BUILDERS, INC
Entity Type:Organization
Organization Name:MIDWEST COACH BUILDERS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:KARRAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-690-1420
Mailing Address - Street 1:200 EASY ST STE I
Mailing Address - Street 2:
Mailing Address - City:CAROL STREAM
Mailing Address - State:IL
Mailing Address - Zip Code:60188-2399
Mailing Address - Country:US
Mailing Address - Phone:630-690-1420
Mailing Address - Fax:630-690-1472
Practice Address - Street 1:200 EASY ST STE I
Practice Address - Street 2:
Practice Address - City:CAROL STREAM
Practice Address - State:IL
Practice Address - Zip Code:60188-2399
Practice Address - Country:US
Practice Address - Phone:630-690-1420
Practice Address - Fax:630-690-1472
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-17
Last Update Date:2020-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment