Provider Demographics
NPI:1851013528
Name:MARIAN HEALTHCARE SERVICES, LLC
Entity Type:Organization
Organization Name:MARIAN HEALTHCARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ONAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-979-8998
Mailing Address - Street 1:2700 S RIVER RD STE 106
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60018-4104
Mailing Address - Country:US
Mailing Address - Phone:847-979-8998
Mailing Address - Fax:847-979-8954
Practice Address - Street 1:2700 S RIVER RD STE 106
Practice Address - Street 2:
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60018-4104
Practice Address - Country:US
Practice Address - Phone:847-979-8998
Practice Address - Fax:847-979-8954
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-19
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health