Organization
MEDTAK LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCI HALPERT (PRESIDENT)
(847) 677-7240
Entity
Organization
Contact information
Practice address
6464 N CENTRAL AVE, CHICAGO, IL 60646-2935
(847) 677-7240
Mailing address
6464 N CENTRAL AVE, CHICAGO, IL 60646-2935
(847) 677-7240
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
IL
Other
Enumeration date
05/04/2006
Last updated
11/15/2007
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