MEDTEC HEALTHCARE & PRIVATE DUTY, LLC (NPI# 1023434891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023434891 |
| Entity Type | Organization |
| Organization Name | MEDTEC HEALTHCARE & PRIVATE DUTY, LLC |
| Practice Address |
4834 N Sheridan Rd Chicago IL 60640-3704 |
| Practice Telephone | 7732930111 |
| Practice Fax Number | 7732930112 |
| Mailing Telephone | 7732930111 |
| Mailing Fax Number | 7732930112 |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2018-11-30 |
| Authorized Official Name | YI WONG (VICE PRESIDENT) |
| Authorized Official Telephone | 8476635511 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083031249 | Medtec Healthcare & Private Duty, LLC | Clinic/Center | 43 W Dundee Rd, Wheeling, IL 60090 | 2014-03-26 |
| 1801213061 | Medtec Healthcare & Private Duty, LLC | Clinic/Center | 6027 Dempster St, Morton Grove, IL 60053-2943 | 2014-03-26 |
| 1114270246 | Medtec Healthcare & Private Duty, LLC | Clinic/Center | 9242 Waukegan Rd, Morton Grove, IL 60053-2101 | 2012-10-26 |
| 1457778060 | Medtec Healthcare & Private Duty, LLC | In Home Supportive Care | 9242 Waukegan Rd, Morton Grove, IL 60053-2101 | 2014-03-20 |
| 1497171276 | Medtec Healthcare & Private Duty, LLC | In Home Supportive Care | 47 W Dundee Rd, 1s, Wheeling, IL 60090-4894 | 2014-03-17 |
| Street Address |
4834 N SHERIDAN RD |
| City | CHICAGO |
| State | IL |
| Zip Code | 60640-3704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336754233 | Rci (wrs), LLC. | Clinic/Center | 5221-23 North Broadway, Chicago, IL 60640 | 2020-09-09 |
| 1548871916 | Borici Counseling LLC | Counselor | 4731 N Paulina St, Chicago, IL 60640 | 2020-08-11 |
| 1306319173 | Gerardo Garcia | Physician Assistant | Medical Staff Office, Weiss Memorial Hospital, 4646 N Marine Drive, Chicago, IL 60640 | 2019-01-04 |
| 1386121283 | Aea Optical Ventures, LLC | Clinic/Center | 4814 N Clark St, Chicago, IL 60640 | 2018-07-24 |
| 1023503885 | Lauren Vassiliades | Internal Medicine | Weiss Memorial Hospital, Medical Education Dpt., 4646 N. Marine Drive, C Elevators, 7th Flr. # 7100, Chicago, IL 60640 | 2018-06-25 |
| 1477061620 | Yesenia Vargas | Nurse Practitioner | 1025 W Sunnyside, Chicago, IL 60640 | 2018-01-22 |
| 1932622206 | Jasleen Kaur Brar | Internal Medicine | 4646 N. Marine Dr., Chicago, IL 60640 | 2017-07-19 |
| 1750802849 | Umer Mukhtar | Internal Medicine | 4646 N. Marine Dr. Med Ed Dept. C Elevators., Weiss Memorial Hospital. 7 Floor. #7100, Chicago, IL 60640 | 2017-06-29 |
| 1184144081 | Ellie Navidson | Registered Nurse | 1015 W Lawrence, 2nd Floor, Chicago, IL 60640 | 2017-06-21 |
| 1962932558 | Jennifer Stridh | Marriage & Family Therapist | 5125 N. Winthrop Ave, 1f, Chicago, IL 60640 | 2017-06-15 |
| Find all providers in zip 60640 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922594613 | Northwest Adult Wellness Center LLC | Clinic/Center | 235 W 95th Suite 3, Chicago, IL 60628 | 2018-07-05 |
| 1598218604 | 3ys Service, Inc | Clinic/Center | 914 E 54th St, Chicago, IL 60615-5018 | 2016-07-26 |
| 1487079182 | Chicago Commons Association | Clinic/Center | 4349 W Washington Blvd, Chicago, IL 60624-2211 | 2014-03-04 |
| 1962743666 | White Crane Wellness Center | Clinic/Center | 1657 W Foster Ave, Chicago, IL 60640-2013 | 2013-03-06 |
| 1407105208 | Center for Seniors | Clinic/Center | 5320 N. Kedzie Ave, Chicago, IL 60625-4712 | 2012-09-07 |
| 1598026676 | Chicago Commons Association | Clinic/Center | 515 E 50th St, 200, Chicago, IL 60615-2401 | 2012-06-05 |
| 1114288594 | Days Adult Day Care and Personal Care Providers Inc | Clinic/Center | 2455 E 75th St, Chicago, IL 60649 | 2012-06-02 |
| 1679712889 | Genuine Care Adult Service Center | Clinic/Center | 7313 N Western Ave, Chicago, IL 60645-1813 | 2009-02-11 |
| 1407023849 | South Lake Medical Services, Ltd | Clinic/Center | 2621 E 75th St, Chicago, IL 60649-3705 | 2008-05-14 |
| 1497812812 | Miracles of Life Day Services Inc. | Clinic/Center | 5914 W North Ave, Chicago, IL 60639-4013 | 2007-01-03 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.