Organization Active NPI

Medtech Devices LLC

  • Customized Equipment (DME)
  • Park Ridge, IL
National Provider Identifier
1609676501
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
MEDTECH DEVICES LLC
Practice address
1711 Norman Blvd
Park Ridge, IL 60068-3850
Phone
(708) 949-1044
NPI assigned
Mar 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Authorized official

Name
Ansu Durgut, DCNPI 1780116780
Title
Member
Phone
(708) 949-1044

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

1711 Norman Blvd
Park Ridge, IL 60068-3850

Mailing address

PO Box 616
Park Ridge, IL 60068-0616
Phone (708) 949-1044

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1742256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1609676501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 616",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600680616",
            "telephone_number": "708-949-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 NORMAN BLVD",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600683850",
            "telephone_number": "708-949-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDTECH DEVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-18",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "DURGUT",
        "authorized_official_first_name": "ANSU",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "708-949-1044",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.