Healthcare Provider Details

I. General information

NPI: 1639014871
Provider Name (Legal Business Name): MIDWESTERN STATES MOVERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7120 N SHERIDAN RD APT 207
CHICAGO IL
60626-2902
US

IV. Provider business mailing address

7120 N SHERIDAN RD APT 207
CHICAGO IL
60626-2902
US

V. Phone/Fax

Practice location:
  • Phone: 773-289-0934
  • Fax:
Mailing address:
  • Phone: 773-289-0934
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BD1200X
TaxonomyDialysis Equipment & Supplies (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: TOM HERRY
Title or Position: MANAGER
Credential:
Phone: 773-289-0934