MEDICARE: AERATECH MEDICAL 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	332BX2000X	Oxygen Equipment & Supplies (DME)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811990302
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AERATECH MEDICAL LLC

Provider Business Mailing Address
First Line	:	655 W GRAND AVE STE 100
Second Line	:
City	:	ELMHURST
State	:	IL
Zip	:	60126-1061
Country	:	US
Telephone Number	:	888-800-9445
Fax Number	:	888-800-1991

Provider Business Practice Location Address
First Line	:	4569 CRYSTAL PKWY
Second Line	:
City	:	KENT
State	:	OH
Zip	:	44240-8022
Country	:	US
Telephone Number	:	330-722-1711
Fax Number	:	330-470-2664

Authorized Official
Title or Position	:	VP OF REVENUE CYCLE
Name	:	ANGELA M PAPAZIAN
Credential	:
Telephone Number	:	586-596-2442

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	02/09/2026

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Directions to “AERATECH MEDICAL LLC ” Practice Location

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