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NPI Code Detail

MEDICARE: MARK DRUG HOME HEALTH CARE INC

MEDICARE: MARK DRUG HOME HEALTH CARE INC
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
1335E00000XProsthetic/Orthotic Supplier203 000071IL
2332B00000XDurable Medical Equipment & Medical Supplies203 000071IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11670876OTHERILBC BS

General Provider Information

NPI Number : 1013995927
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARK DRUG HOME HEALTH CARE INC
Provider Business Mailing Address
First Line : 1457 W SCHAUMBURG RD
Second Line :
City : SCHAUMBURG
State : IL
Zip : 60194-4051
Country : US
Telephone Number : 847-895-0011
Fax Number : 847-895-0014
Provider Business Practice Location Address
First Line : 1457 W SCHAUMBURG RD
Second Line :
City : SCHAUMBURG
State : IL
Zip : 60194-4051
Country : US
Telephone Number : 847-895-0011
Fax Number : 847-895-0014
Authorized Official
Title or Position : CEO
Name : MR. GREGORY R KOLACINSKI
Credential :
Telephone Number : 847-895-0011
Provider Enumeration Date : 01/03/2006
Last Update Date : 09/26/2008

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Directions to “MARK DRUG HOME HEALTH CARE INC ” Practice Location

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