Provider Demographics
NPI:1053364695
Name:MIDWEST MEDICAL EQUIPMENT SOLUTIONS, INC.
Entity type:Organization
Organization Name:MIDWEST MEDICAL EQUIPMENT SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:BUIKEMA
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:708-633-1560
Mailing Address - Street 1:19015 S JODI RD STE A
Mailing Address - Street 2:
Mailing Address - City:MOKENA
Mailing Address - State:IL
Mailing Address - Zip Code:60448-8534
Mailing Address - Country:US
Mailing Address - Phone:708-633-1560
Mailing Address - Fax:708-633-1574
Practice Address - Street 1:19015 S JODI RD STE A
Practice Address - Street 2:
Practice Address - City:MOKENA
Practice Address - State:IL
Practice Address - Zip Code:60448-8534
Practice Address - Country:US
Practice Address - Phone:708-633-1560
Practice Address - Fax:708-633-1574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========002Medicaid
IL5360940001Medicare NSC