REHABTECH SUPPLY CORPORATION (NPI# 1902137409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902137409 |
| Entity Type | Organization |
| Organization Name | REHABTECH SUPPLY CORPORATION |
| Other Organization Name | LIFE TECH |
| Practice Address |
655 W Grand Ave Suite 100 Elmhurst IL 60126-1060 |
| Practice Telephone | 8888009445 |
| Practice Fax Number | 8888001991 |
| Mailing Telephone | 8888009445 |
| Mailing Fax Number | 8888001991 |
| Enumeration Date | 2010-01-22 |
| Last Update Date | 2020-01-31 |
| Authorized Official Name | MR. BRIAN DACY (DIRECTOR) |
| Authorized Official Telephone | 8888009445 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 69000699A | IN | Suppliers |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 203001157 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200994870 A | 05 | |
| WI | 1902137409 | 05 | |
| MO | 620078942 | 05 |
| Other Name | Type Code |
|---|---|
| Life Tech | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508869777 | Rehabtech Supply Corporation | Durable Medical Equipment & Medical Supplies | 10216 Werch Dr Ste 108-109, Woodridge, IL 60517-4982 | 2005-05-23 |
| Street Address |
655 W GRAND AVE SUITE 100 |
| City | ELMHURST |
| State | IL |
| Zip Code | 60126-1060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467788158 | Leah Jeanine Adamik | Behavioral Analyst | 655 W Grand Ave, Suite 100, Elmhurst, IL 60126-1060 | 2009-10-30 |
| 1730554924 | Breg, Inc. | Durable Medical Equipment & Medical Supplies | 655 W Grand Ave, Unit 205, Elmhurst, IL 60126-1060 | 2015-12-14 |
| 1013393016 | Blair Drewke | Behavioral Analyst | 655 W Grand Ave, Ste 100, Elmhurst, IL 60126-1060 | 2015-08-03 |
| 1063819662 | Kaitlin Bauer | Behavioral Analyst | 655 W Grand Ave, Suite 100, Elmhurst, IL 60126-1060 | 2014-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154931434 | Andrew D Chastain | Physical Therapy Assistant | 188 N. Industrial Drive, Suite 112, Elmhurst, IL 60126 | 2020-08-03 |
| 1407464472 | Kevin M. Dunn | Physical Therapy Assistant | 188 N, Industrial Dr, Suite 112, Elmhurst, IL 60126 | 2020-07-16 |
| 1699236414 | Rosario Garcia | Nurse Practitioner | 1200 York St, Elmhurst, IL 60126 | 2019-03-26 |
| 1003390857 | Lauren M Gorski | Physical Therapist | 275 N. York Rd, Suite 300, Elmhurst, IL 60126 | 2018-09-18 |
| 1073041240 | Kyle Patrick Harmon | Dentist | 127 W Vallette St, Elmhurst, IL 60126 | 2017-05-31 |
| 1083065031 | Mariah Lynn Kyro | Behavioral Analyst | 650 W. Grand Avenue Suite 207, Elmhurst, IL 60126 | 2016-06-30 |
| 1841661261 | Randi N. Rockell | Nurse Practitioner | 155 E. Brush Hill Rd., Elmhurst Memorial Hospital, Elmhurst, IL 60126 | 2015-10-12 |
| 1508254897 | Soles Therapy Services Corp | Speech-Language Pathologist | 627 N York Street, Unit E, Elmhurst, IL 60126 | 2015-01-08 |
| 1629466560 | Amy J Pawlik | Physical Therapist | 263 N. York Rd., Suite 200, Elmhurst, IL 60126 | 2014-12-30 |
| 1265771349 | Ladawna Goering | Nurse Practitioner | 133 E Brush Hill, Suite 310, Elmhurst, IL 60126 | 2013-02-08 |
| Find all providers in zip 60126 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710512637 | American Health Supplies Inc | Durable Medical Equipment & Medical Supplies | 9011 Corona Ave Ground Floor, Elmhurst, NY 11373-4196 | 2020-03-11 |
| 1982191821 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 536 S York St Ste 4220, Elmhurst, IL 60126-3952 | 2018-04-17 |
| 1942627393 | Beams Technologies, Inc. | Durable Medical Equipment & Medical Supplies | 691 N Church Rd, Elmhurst, IL 60126-1427 | 2014-03-24 |
| 1689974313 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 155 E Brush Hill Rd Ste D1543, Elmhurst, IL 60126-5658 | 2010-10-28 |
| 1700111333 | Otto Bock Orthopedic Services LLC | Durable Medical Equipment & Medical Supplies | 467 W Fullerton Ave, Elmhurst, IL 60126-1404 | 2009-10-15 |
| 1083947923 | Integrated Respiratory Services, Inc | Durable Medical Equipment & Medical Supplies | 215 W Wrightwood Ave, Elmhurst, IL 60126-1112 | 2009-09-10 |
| 1538205323 | Mount Sinai Surgical Supplies Inc. | Durable Medical Equipment & Medical Supplies | 8008 Baxter Ave, Elmhurst, NY 11373-1313 | 2007-01-29 |
| 1174691976 | H & R Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 9431 59th Ave, Elmhurst, NY 11373-5168 | 2006-12-01 |
| 1124132154 | Shield Denver Health Care Center Inc | Durable Medical Equipment & Medical Supplies | 847 N Church Ct, Unit A, Elmhurst, IL 60126-1036 | 2006-08-18 |
| 1487665402 | Digitrace Care Services, Inc | Durable Medical Equipment & Medical Supplies | 386 N York St Ste 207, Elmhurst, IL 60126-2367 | 2006-08-11 |
| Find all providers in ELMHURST | ||||
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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.