Organization
CAROLMARK INC
Active
Other names
home air
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK ARNOLD ELIAS RCP (PRESIDENT)
(708) 922-0588
Entity
Organization
Contact information
Practice address
18118 1/2 MARTIN AVE, 1EE, HOMEWOOD, IL 60430-2120
(708) 922-0588
(708) 922-0599
Mailing address
18118 1/2 MARTIN AVE, 1EE, HOMEWOOD, IL 60430-2120
(708) 922-0588
(708) 922-0599
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
203000542
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01619778
BLUE CROSS PROVIDER NUMBE
IL
Enumeration date
11/29/2005
Last updated
03/26/2009
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