Provider Demographics
NPI:1629341029
Name:DIGNITY HOMESERVICES
Entity Type:Organization
Organization Name:DIGNITY HOMESERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:IGOR
Authorized Official - Middle Name:
Authorized Official - Last Name:MAKAROV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:224-545-8728
Mailing Address - Street 1:456 W FRONTAGE RD
Mailing Address - Street 2:SUITE 8
Mailing Address - City:NORTHFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60093-3034
Mailing Address - Country:US
Mailing Address - Phone:847-386-6857
Mailing Address - Fax:847-386-6859
Practice Address - Street 1:456 W FRONTAGE RD
Practice Address - Street 2:SUITE 8
Practice Address - City:NORTHFIELD
Practice Address - State:IL
Practice Address - Zip Code:60093-3034
Practice Address - Country:US
Practice Address - Phone:847-386-6857
Practice Address - Fax:847-386-6859
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-15
Last Update Date:2012-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2033416253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care