MEDTAK LTD NPI 1386692507

NPI Information

NPI: 1386692507
Provider Name: MEDTAK LTD
Classification: Durable Medical Equipment & Medical Supplies - 332BP3500X
Entity Type: Organization

Specialization: Parenteral & Enteral Nutrition

Address:
6464 N CENTRAL AVE
CHICAGO, IL
ZIP 60646
Phone: (847) 677-7240
Get Directions

MEDTAK LTD is a parenteral and enteral nutrition durable medical equipment medical supplies in Chicago, IL. MEDTAK LTD NPI is 1386692507. The provider is registered as an organization entity type.

The provider's business location address is:

6464 N CENTRAL AVE
CHICAGO, IL
ZIP 60646-935
Phone: (847) 677-7240

The provider's authorized official is Marci Halpert .
The authorized official title is President and has the following contact phone number (847) 677-7240.

The enumeration date for this NPI number is 5/4/2006 and was last updated on 11/15/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition		ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5304460002	MEDICARE NSC	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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