Organization · Type 2 NPI

Mimi Medical Supply LLC

Durable Medical Equipment & Medical Supplies · Rockford, IL

NPI number 1356229942 Active

Practice location

1905 W Riverside Blvd
Rockford, IL 61103-1502

Call (872) 702-3523 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Medical Laboratory 291U00000XNone listed
Durable Medical Equipment & Medical Supplies Primary 332B00000XNone listed

Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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About NPI 1356229942

Mimi Medical Supply LLC's National Provider Identifier is 1356229942, issued on Aug 22, 2025. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Rockford, IL. The record was last updated on Mar 11, 2026.