NPIMap

Organization Active NPI

Medtec Healthcare & Private Duty, LLC

  • In Home Supportive Care Agency
  • Wheeling, IL
National Provider Identifier
1497171276
Registry record updated Nov 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MEDTEC HEALTHCARE & PRIVATE DUTY, LLC
Practice address
47 W Dundee Rd
1S
Wheeling, IL 60090-4894
Phone
(847) 520-9695
Fax
(847) 520-9450
NPI assigned
Mar 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2018

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

Authorized official

Name
Yi Wong
Title
Vice President
Phone
(847) 663-5511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

47 W Dundee Rd
1S
Wheeling, IL 60090-4894

Mailing address

47 W Dundee Rd Ste 2SW
Wheeling, IL 60090-4866
Phone (847) 229-1088

National Provider Directory

National Provider Directory
Tax ID family
Medtec Healthcare Private Duty LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

47 W Dundee Rd
Ste 2SW
Wheeling, IL 60090

NPI Registry JSON

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543536000000",
    "number": "1497171276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 W DUNDEE RD STE 2SW",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600904866",
            "telephone_number": "847-229-1088",
            "fax_number": "847-470-4289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 W DUNDEE RD",
            "address_2": "1S",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600904894",
            "telephone_number": "847-520-9695",
            "fax_number": "847-520-9450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDTEC HEALTHCARE & PRIVATE DUTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-17",
        "last_updated": "2018-11-30",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "YI",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "847-663-5511"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; 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.