MEDICARE: AXEL HEALTHTECH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BC3200X	Customized Equipment (DME)

General Provider Information

NPI Number	:	1790618197
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AXEL HEALTHTECH LLC

Provider Business Mailing Address
First Line	:	183 E LAKE RIDGE DR
Second Line	:
City	:	GLENDALE HEIGHTS
State	:	IL
Zip	:	60139-1629
Country	:	US
Telephone Number	:	307-289-2158
Fax Number	:

Provider Business Practice Location Address
First Line	:	183 E LAKE RIDGE DR
Second Line	:
City	:	GLENDALE HEIGHTS
State	:	IL
Zip	:	60139-1629
Country	:	US
Telephone Number	:	307-289-2158
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ALINA JAFFER
Credential	:
Telephone Number	:	307-289-2158

Provider Enumeration Date	:	06/04/2026
Last Update Date	:	06/04/2026

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Directions to “AXEL HEALTHTECH LLC ” Practice Location

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