Healthcare Provider Details

I. General information

NPI: 1376398727
Provider Name (Legal Business Name): CORDIAL CARE HOME SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2024
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3525 W PETERSON AVE
CHICAGO IL
60659-3324
US

IV. Provider business mailing address

3525 W PETERSON AVE
CHICAGO IL
60659-3324
US

V. Phone/Fax

Practice location:
  • Phone: 224-420-6505
  • Fax: 847-235-6100
Mailing address:
  • Phone: 224-420-6505
  • Fax: 847-235-6100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MARIA GEMMA MAROON
Title or Position: PRESIDENT
Credential:
Phone: 224-420-6505