Provider Demographics
NPI:1710224951
Name:MGB SERVICES, INC.
Entity Type:Organization
Organization Name:MGB SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:G
Authorized Official - Last Name:BELLANTUONO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-533-6224
Mailing Address - Street 1:2803 N WINDSOR DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-2141
Mailing Address - Country:US
Mailing Address - Phone:847-533-6224
Mailing Address - Fax:
Practice Address - Street 1:2803 N WINDSOR DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-2141
Practice Address - Country:US
Practice Address - Phone:847-533-6224
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-08
Last Update Date:2013-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251S00000XAgenciesCommunity/Behavioral Health