Provider Demographics
NPI:1083670483
Name:DYROON CORP
Entity Type:Organization
Organization Name:DYROON CORP
Other - Org Name:SIGMA HOME SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:MAROON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-677-4462
Mailing Address - Street 1:4658 OAKTON ST
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-3145
Mailing Address - Country:US
Mailing Address - Phone:847-677-4462
Mailing Address - Fax:847-677-4463
Practice Address - Street 1:4658 OAKTON ST
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60076-3145
Practice Address - Country:US
Practice Address - Phone:847-677-4462
Practice Address - Fax:847-677-4463
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-25
Last Update Date:2012-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1009117251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL5058OtherBLUE CROSS
IL=========001Medicaid
IL=========001Medicaid
IL147684Medicare ID - Type Unspecified