MEDTEC HEALTHCARE & PRIVATE DUTY, LLC (NPI# 1083031249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083031249 |
| Entity Type | Organization |
| Organization Name | MEDTEC HEALTHCARE & PRIVATE DUTY, LLC |
| Practice Address |
43 W Dundee Rd Wheeling IL 60090 |
| Mailing Address |
47 W Dundee Rd Ste 2sw Wheeling IL 60090-4866 |
| Practice Telephone | 8472291088 |
| Practice Fax Number | 8474704289 |
| Mailing Telephone | 8472298200 |
| Mailing Fax Number | 8472298210 |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2018-11-30 |
| Authorized Official Name | YI WONG (VICE PRESIDENT) |
| Authorized Official Telephone | 8476635511 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 43 W Dundee Rd, Wheeling, IL 60090 | 8472298200 | 8472298210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801213061 | Medtec Healthcare & Private Duty, LLC | Clinic/Center | 6027 Dempster St, Morton Grove, IL 60053-2943 | 2014-03-26 |
| 1023434891 | Medtec Healthcare & Private Duty, LLC | Clinic/Center | 4834 N Sheridan Rd, Chicago, IL 60640-3704 | 2014-03-17 |
| 1114270246 | Medtec Healthcare & Private Duty, LLC | Clinic/Center | 9242 Waukegan Rd, Morton Grove, IL 60053-2101 | 2012-10-26 |
| 1457778060 | Medtec Healthcare & Private Duty, LLC | In Home Supportive Care | 9242 Waukegan Rd, Morton Grove, IL 60053-2101 | 2014-03-20 |
| 1497171276 | Medtec Healthcare & Private Duty, LLC | In Home Supportive Care | 47 W Dundee Rd, 1s, Wheeling, IL 60090-4894 | 2014-03-17 |
| Street Address |
43 W DUNDEE RD |
| City | WHEELING |
| State | IL |
| Zip Code | 60090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003320318 | Suhani Shail Shah | Pharmacist | Broadway Ave Pharmacy, 151 N 19th Ave, Melrose Park, IL 60090 | 2017-11-22 |
| 1164933479 | Vilija Ball | Psychologist | 307 S Milwaukee Ave Ste 103, Wheeling, IL 60090 | 2017-10-13 |
| 1184143117 | Jeremy Holtmeier | Psychologist | Wheeling School District 21, 999 West Dundee Road, Wheeling, IL 60090 | 2017-09-11 |
| 1326589128 | Nicole Tinetti | Student in an Organized Health Care Education/Training Program | 1410 Marcy Ln, Wheeling, IL 60090 | 2017-03-13 |
| 1881065365 | Melissa Theresa Ballak | Pharmacist | 1400 E Lake-cook Road, Wheeling, IL 60090 | 2015-10-09 |
| 1508137464 | Kras Medical S.c. | Dentist | 1532 West Lale Cook Road, Wheeling, IL 60090 | 2012-01-24 |
| 1629351077 | Kedvon Pharmacy Solutions, Inc. | Durable Medical Equipment & Medical Supplies | 56 South Milwaukee Ave., Wheeling, IL 60090 | 2011-09-22 |
| 1992038814 | Ida Neyman | Specialist | 45 Prairie Park Dr., Apt 503, Wheeling, IL 60090 | 2009-09-10 |
| 1396078275 | Funtastic Gymnastic LLC | Physical Therapist | 401 S. Milwaukee Ave, Suite 235, Wheeling, IL 60090 | 2009-09-10 |
| 1083841449 | Family Dental Enter Chicago | Clinic/Center | 2710 W Devon Ave. 3rd Floor, Wheeling, IL 60090 | 2009-06-12 |
| Find all providers in zip 60090 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871003335 | Center for Seniors | Clinic/Center | 8900 Capitol Dr, Wheeling, IL 60090-7203 | 2017-10-10 |
| 1619211067 | Starlight Adult Day Care | Clinic/Center | 818 Chaddick Dr, Wheeling, IL 60090-6450 | 2012-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962987735 | Osf Healthcare System | Clinic/Center | 719 N William Kumpf Blvd Ste 300, Peoria, IL 61605-2531 | 2018-09-27 |
| 1083190920 | St. John's Healing Community Board | Clinic/Center | 1015b Century Dr, Edwardsville, IL 62025-3772 | 2018-07-13 |
| 1922594613 | Northwest Adult Wellness Center LLC | Clinic/Center | 235 W 95th Suite 3, Chicago, IL 60628 | 2018-07-05 |
| 1336689322 | St. John's Lutheran Church, Inc. | Clinic/Center | 311 N. Lake Rd., Lena, IL 61048-8712 | 2017-02-24 |
| 1306398656 | Naperville Senior Center Adult Day Services | Clinic/Center | 1504 N Naper Blvd Ste 120, Naperville, IL 60563-4819 | 2016-11-02 |
| 1598218604 | 3ys Service, Inc | Clinic/Center | 914 E 54th St, Chicago, IL 60615-5018 | 2016-07-26 |
| 1962896431 | Presence Heritage Day Break | Clinic/Center | 1025 N Washington Ave, Kankakee, IL 60901-2059 | 2015-03-23 |
| 1700281011 | Starlight Adult Day Care Dba Forever Young Adult Day Services, Inc. | Clinic/Center | 6700 N Lincoln Ave, Lincolnwood, IL 60712-3607 | 2014-10-29 |
| 1588073753 | The Golden Years Adult Day Center LLC | Clinic/Center | 7 N 44th St, Belleville, IL 62226-5543 | 2014-08-12 |
| 1508277666 | Independence Health & Therapy | Clinic/Center | 12555 Farm Hill Dr, Suite 800, Huntley, IL 60142-7723 | 2014-05-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.