Organization Active NPI

Medtec Medical Inc

  • Durable Medical Equipment & Medical Supplies
  • Buffalo Grove, IL
National Provider Identifier
1124085899
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
203000755 Issued in IL
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

Updated by the provider on May 21, 2025

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20100930010893 IL DME Supplier - Medical Supply Company 3375659766 Practice locations: Buffalo Grove, IL

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

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.

Verify at the official NPI Registry.