Healthcare Provider Details

I. General information

NPI: 1083579205
Provider Name (Legal Business Name): HEALTHCONICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

376 OAK TRAILS RD
DES PLAINES IL
60016-1242
US

IV. Provider business mailing address

376 OAK TRAILS RD
DES PLAINES IL
60016-1242
US

V. Phone/Fax

Practice location:
  • Phone: 566-656-5656
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: BEAGIN ERINN
Title or Position: MANAGER
Credential: MANAGER
Phone: 565-656-5656