Provider Demographics
NPI:1902115728
Name:WMI ENTERPRISES, LLC
Entity Type:Organization
Organization Name:WMI ENTERPRISES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:WILFORD
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:773-744-1578
Mailing Address - Street 1:3717 N RAVENSWOOD AVE
Mailing Address - Street 2:SUITE 219 W
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60613-3880
Mailing Address - Country:US
Mailing Address - Phone:847-981-1998
Mailing Address - Fax:847-981-1967
Practice Address - Street 1:3717 N RAVENSWOOD AVE
Practice Address - Street 2:SUITE 219 W
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60613-3880
Practice Address - Country:US
Practice Address - Phone:847-981-1998
Practice Address - Fax:847-981-1967
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-28
Last Update Date:2011-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies