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Organization
MARKLUND CHILDRENS HOME DME
Active
Organization
MARKLUND CHILDRENS HOME DME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GILBERT FONGER (CEO/PRESIDENT)
(630) 593-5500
Entity
Organization
Contact information
Practice address
1S450 WYATT DR, GENEVA, IL 60134-4921
(630) 593-5500
Mailing address
1S450 WYATT DR, GENEVA, IL 60134-4921
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
02/26/2015
Last updated
02/26/2015
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