Medtak LTD

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

Legal business name

MEDTAK LTD

Practice address

6464 N Central Ave
Chicago, IL 60646-2935

Phone

(847) 677-7240

NPI assigned

May 4, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marci Halpert

Title

President

Phone

(847) 677-7240

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1386692507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6464 N CENTRAL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606462935",
            "telephone_number": "847-677-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6464 N CENTRAL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606462935",
            "telephone_number": "847-677-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDTAK LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "HALPERT",
        "authorized_official_first_name": "MARCI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-677-7240"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pamela L Meduga-Lopina, APN
• Diana Skukan Medved
• Svetlana Medvedeva, PSYD/HSPP
• Diego Andres Medvedofsky, MD

• Parenteral & Enteral Nutrition Supplies (DME) in Chicago, IL
• Providers in Chicago, IL by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.