Provider Demographics
NPI:1962509232
Name:MIDWEST SYSTEMS, INC
Entity Type:Organization
Organization Name:MIDWEST SYSTEMS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NAHEED
Authorized Official - Middle Name:
Authorized Official - Last Name:ADHAMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-264-0166
Mailing Address - Street 1:1177 N HIGHLAND AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60506-2281
Mailing Address - Country:US
Mailing Address - Phone:630-264-0166
Mailing Address - Fax:
Practice Address - Street 1:1177 N HIGHLAND AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60506-2281
Practice Address - Country:US
Practice Address - Phone:630-264-0166
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2007-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL203000787332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL5448700002Medicare NSC