Healthcare Provider Details

I. General information

NPI: 1740468214
Provider Name (Legal Business Name): ECON TECHNOLOGIES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2008
Last Update Date: 02/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

302 E NEW YORK ST
AURORA IL
60505-3424
US

IV. Provider business mailing address

302 E NEW YORK ST
AURORA IL
60505-3424
US

V. Phone/Fax

Practice location:
  • Phone: 630-673-0763
  • Fax:
Mailing address:
  • Phone: 630-673-0763
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. MIR A SHAH
Title or Position: PRESIDENT
Credential:
Phone: 630-673-0224