| Organization Name: | MEDTECH ENTERPRISES |
| NPI Number: | 1205173853 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LENNIE ALAN FURR (PRESIDENT) |
| Mailing Address: | 28070 E State Rd Ste 2 Island Lake |
| State: | IL US |
| Postal Code: | 600429552 |
| Phone Number: | 8004610129 |
| Fax Number: | 8003150982 |
| NPI Enumeration Date: | 01/15/2013 |
| NPI Last Update Date: | 09/13/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |