Healthcare Provider Details

I. General information

NPI: 1972926012
Provider Name (Legal Business Name): MTS DIRECT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2014
Last Update Date: 03/28/2025
Certification Date: 03/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1221 COMMERCE DR
CRETE IL
60417-3803
US

IV. Provider business mailing address

1221 COMMERCE DR STE 100
CRETE IL
60417-3804
US

V. Phone/Fax

Practice location:
  • Phone: 800-687-6840
  • Fax:
Mailing address:
  • Phone: 800-687-6840
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: VICTORIA GATLIN
Title or Position: OWNER
Credential:
Phone: 708-252-1958