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NPI Code Detail

MEDICARE: MIDWESTERN STATES MOVERS LLC

MEDICARE: MIDWESTERN STATES MOVERS LLC
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
1332BD1200XDialysis Equipment & Supplies (DME)

General Provider Information

NPI Number : 1639014871
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIDWESTERN STATES MOVERS LLC
Provider Business Mailing Address
First Line : 7120 N SHERIDAN RD APT 207
Second Line :
City : CHICAGO
State : IL
Zip : 60626-2902
Country : US
Telephone Number : 773-289-0934
Fax Number :
Provider Business Practice Location Address
First Line : 7120 N SHERIDAN RD APT 207
Second Line :
City : CHICAGO
State : IL
Zip : 60626-2902
Country : US
Telephone Number : 773-289-0934
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : TOM HERRY
Credential :
Telephone Number : 773-289-0934
Provider Enumeration Date : 04/22/2026
Last Update Date : 04/22/2026

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Directions to “MIDWESTERN STATES MOVERS LLC ” Practice Location

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