Provider Demographics
NPI:1376863928
Name:MSM HEALTHCARE SOLUTIONS, INC
Entity type:Organization
Organization Name:MSM HEALTHCARE SOLUTIONS, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARK
Authorized Official - Middle Name:C
Authorized Official - Last Name:MIRON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-921-5740
Mailing Address - Street 1:17055 HARLEM AVE
Mailing Address - Street 2:
Mailing Address - City:TINLEY PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60477-2739
Mailing Address - Country:US
Mailing Address - Phone:708-532-2273
Mailing Address - Fax:708-633-6100
Practice Address - Street 1:17055 HARLEM AVE
Practice Address - Street 2:
Practice Address - City:TINLEY PARK
Practice Address - State:IL
Practice Address - Zip Code:60477-2739
Practice Address - Country:US
Practice Address - Phone:708-532-2273
Practice Address - Fax:708-633-6100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-06
Last Update Date:2010-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2010-N1242253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care