Provider Demographics
NPI:1154962389
Name:WINDY CITY MEDTEK LLC
Entity type:Organization
Organization Name:WINDY CITY MEDTEK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:CLASEN
Authorized Official - Last Name:HARPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-682-5387
Mailing Address - Street 1:1305 REMINGTON RD STE E
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-4820
Mailing Address - Country:US
Mailing Address - Phone:970-682-5387
Mailing Address - Fax:
Practice Address - Street 1:1305 REMINGTON RD STE E
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-4820
Practice Address - Country:US
Practice Address - Phone:970-682-5387
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-29
Last Update Date:2019-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment