Provider Demographics
NPI:1104033042
Name:INTEGRA HEALTHCARE EQUIPMENT LLC
Entity Type:Organization
Organization Name:INTEGRA HEALTHCARE EQUIPMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EITAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHECHTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-516-8320
Mailing Address - Street 1:321 W LAKE ST STE C
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-1539
Mailing Address - Country:US
Mailing Address - Phone:630-516-8371
Mailing Address - Fax:630-834-1500
Practice Address - Street 1:321 W LAKE ST STE C
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-1539
Practice Address - Country:US
Practice Address - Phone:630-516-8320
Practice Address - Fax:630-834-1500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL203000898332BX2000X, 332BX2000X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL5978100001Medicare NSC