Provider Demographics
NPI:1255178042
Name:ATCOR MEDICAL, INC. (USA)
Entity type:Organization
Organization Name:ATCOR MEDICAL, INC. (USA)
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMMERCIAL OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:TARGOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-228-8875
Mailing Address - Street 1:184 SHUMAN BLVD STE 515
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-7709
Mailing Address - Country:US
Mailing Address - Phone:630-228-8871
Mailing Address - Fax:
Practice Address - Street 1:184 SHUMAN BLVD STE 515
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-7709
Practice Address - Country:US
Practice Address - Phone:630-228-8871
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-10
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment