Provider Demographics
NPI:1942226543
Name:MOTION MEDICAL TECHNOLOGIES, INC
Entity Type:Organization
Organization Name:MOTION MEDICAL TECHNOLOGIES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRINCIPAL
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:F
Authorized Official - Last Name:DAHLINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-847-6903
Mailing Address - Street 1:950 N RAND RD
Mailing Address - Street 2:SUITE 121
Mailing Address - City:WAUCONDA
Mailing Address - State:IL
Mailing Address - Zip Code:60084-1155
Mailing Address - Country:US
Mailing Address - Phone:888-411-1668
Mailing Address - Fax:847-540-9801
Practice Address - Street 1:950 N RAND RD
Practice Address - Street 2:SUITE 121
Practice Address - City:WAUCONDA
Practice Address - State:IL
Practice Address - Zip Code:60084-1155
Practice Address - Country:US
Practice Address - Phone:888-847-6903
Practice Address - Fax:847-526-3379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL5627680001Medicare NSC