Provider Demographics
NPI:1578200689
Name:POP RN
Entity Type:Organization
Organization Name:POP RN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARGO
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:MARASA
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:773-732-0762
Mailing Address - Street 1:6021 N NEVA AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60631-2445
Mailing Address - Country:US
Mailing Address - Phone:773-732-0762
Mailing Address - Fax:
Practice Address - Street 1:6021 N NEVA AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60631-2445
Practice Address - Country:US
Practice Address - Phone:773-732-0762
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-19
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251B00000XAgenciesCase Management
No251K00000XAgenciesPublic Health or Welfare