Provider Demographics
NPI:1750468799
Name:SPECIAL CARE, INC.
Entity Type:Organization
Organization Name:SPECIAL CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:LATINIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-674-7244
Mailing Address - Street 1:3401 MADISON ST
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-2928
Mailing Address - Country:US
Mailing Address - Phone:847-674-7244
Mailing Address - Fax:847-674-7264
Practice Address - Street 1:3401 MADISON ST
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60076-2928
Practice Address - Country:US
Practice Address - Phone:847-674-7244
Practice Address - Fax:847-674-7264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2009-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========001Medicaid
IL=========001Medicaid