Provider Demographics
NPI:1881843209
Name:ARC HEALTHCARE PROVIDERS, LLC
Entity Type:Organization
Organization Name:ARC HEALTHCARE PROVIDERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROSEMARIE
Authorized Official - Middle Name:URO
Authorized Official - Last Name:CLIMACO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:708-363-8471
Mailing Address - Street 1:4628 W 106TH PL
Mailing Address - Street 2:
Mailing Address - City:OAK LAWN
Mailing Address - State:IL
Mailing Address - Zip Code:60453-5247
Mailing Address - Country:US
Mailing Address - Phone:708-363-8471
Mailing Address - Fax:708-529-3963
Practice Address - Street 1:4628 W 106TH PL
Practice Address - Street 2:
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-5247
Practice Address - Country:US
Practice Address - Phone:708-363-8471
Practice Address - Fax:708-529-3963
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-10
Last Update Date:2008-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1010924251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health