Provider Demographics
NPI:1851734214
Name:MB&A, INC
Entity Type:Organization
Organization Name:MB&A, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BIRD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-364-8144
Mailing Address - Street 1:2671 FREELAND CIR
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564-5879
Mailing Address - Country:US
Mailing Address - Phone:630-922-1092
Mailing Address - Fax:866-661-4322
Practice Address - Street 1:2671 FREELAND CIR
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60564-5879
Practice Address - Country:US
Practice Address - Phone:630-922-1092
Practice Address - Fax:866-661-4322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-16
Last Update Date:2013-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies