MEDICARE: WHEELCHAIR SALES AND SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	H13002925127424	NV
2	332B00000X	Durable Medical Equipment & Medical Supplies	203000320	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114194115
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WHEELCHAIR SALES AND SERVICES

Provider Business Mailing Address
First Line	:	14001 W ILLINOIS HWY
Second Line	:
City	:	NEW LENOX
State	:	IL
Zip	:	60451-3282
Country	:	US
Telephone Number	:	800-545-6337
Fax Number	:	815-462-3748

Provider Business Practice Location Address
First Line	:	2470 N DECATUR BLVD STE 115
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-2983
Country	:	US
Telephone Number	:	702-869-8300
Fax Number	:	702-221-8308

Authorized Official
Title or Position	:	SECRETARY TREASURER
Name	:	MR. WILLIAM MICHAEL DOWNS
Credential	:
Telephone Number	:	800-545-6337

Provider Enumeration Date	:	05/09/2008
Last Update Date	:	04/30/2009

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Directions to “WHEELCHAIR SALES AND SERVICES ” Practice Location

Language	Start Address	Practice Location

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