Pro Tech Distributors Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PRO TECH DISTRIBUTORS INC

Practice address

17104 Fieldstone Dr
Marengo, IL 60152-8268

Phone

(815) 923-2349

Fax

(815) 923-4021

NPI assigned

Jun 6, 2007

Last updated

Jun 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Higgin

Title

President

Phone

(815) 923-2349

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1649473885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17104 FIELDSTONE DR",
            "city": "MARENGO",
            "state": "IL",
            "postal_code": "601528268",
            "telephone_number": "815-923-2349",
            "fax_number": "815-923-4021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17104 FIELDSTONE DR",
            "city": "MARENGO",
            "state": "IL",
            "postal_code": "601528268",
            "telephone_number": "815-923-2349",
            "fax_number": "815-923-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO TECH DISTRIBUTORS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "HIGGIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-923-2349"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Marengo, IL
• Providers in Marengo, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.