Provider Demographics
NPI:1760474571
Name:HEALTH TECHNOLOGY RESOURCES, LLC
Entity Type:Organization
Organization Name:HEALTH TECHNOLOGY RESOURCES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:J
Authorized Official - Last Name:CRAWFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-441-8876
Mailing Address - Street 1:1400 E LAKE COOK RD
Mailing Address - Street 2:SUITE 170
Mailing Address - City:BUFFALO GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60089-8217
Mailing Address - Country:US
Mailing Address - Phone:847-947-8044
Mailing Address - Fax:847-947-8449
Practice Address - Street 1:1400 E LAKE COOK RD
Practice Address - Street 2:SUITE 170
Practice Address - City:BUFFALO GROVE
Practice Address - State:IL
Practice Address - Zip Code:60089-8217
Practice Address - Country:US
Practice Address - Phone:847-947-8044
Practice Address - Fax:847-947-8449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-17
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL203000448332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1297470001Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
IL1297470001Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER