Active NPI
Medtec Medical Inc
- Durable Medical Equipment & Medical Supplies
- Buffalo Grove, IL
National Provider Identifier
1124085899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 203000755
- Legal business name
- MEDTEC MEDICAL INC
- Practice address
- 1000 Asbury Dr Ste 1
Buffalo Grove, IL 60089-4551 - Phone
- (847) 520-3000
- Fax
- (847) 520-4268
- NPI assigned
- Apr 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael Kilcran II
- Title
- Owner
- Phone
- (847) 520-3000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 203000755 | IL | Primary |
Addresses
Primary practice location
1000 Asbury Dr Ste 1
Buffalo Grove, IL 60089-4551
Mailing address
1000 Asbury Dr Ste 1
Buffalo Grove, IL 60089-4551
Phone (847) 520-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930010893 | IL | DME Supplier - Medical Supply Company | 3375659766 | Practice locations: Buffalo Grove, IL |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Austin, TX
- NPI 1235248394
Member Of
Locations
1602 Barclay Blvd
Buffalo Grove, IL 60089
Phone (847) 520-3000
1000 Asbury Dr
Ste 1
Buffalo Grove, IL 60089
Phone (847) 520-3000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747785600000",
"number": "1124085899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 ASBURY DR STE 1",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600894551",
"telephone_number": "847-520-3000",
"fax_number": "847-520-4268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 ASBURY DR STE 1",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600894551",
"telephone_number": "847-520-3000",
"fax_number": "847-520-4268"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDTEC MEDICAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-27",
"last_updated": "2025-05-21",
"certification_date": "2025-05-21",
"status": "A",
"authorized_official_last_name": "KILCRAN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "847-520-3000",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "II"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "IL",
"license": "203000755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.