Organization
MARIAN HEALTHCARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALVADOR CAOILI SERRANO M.D. (PRESIDENT)
(847) 290-1740
Entity
Organization
Contact information
Practice address
500 E HIGGINS RD, SUITE 210, ELK GROVE VILLAGE, IL 60007-1438
(847) 290-1740
(847) 290-1760
Mailing address
500 E HIGGINS RD, SUITE 210, ELK GROVE VILLAGE, IL 60007-1438
(847) 290-1740
(847) 290-1760
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1747748
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1010394
STATE ID
IL
01
—
1747748
LICENSE NUMBER
IL
Enumeration date
08/09/2006
Last updated
05/11/2009
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