Provider Demographics
NPI:1700323383
Name:MARKLUND CHILDREN'S HOME
Entity Type:Organization
Organization Name:MARKLUND CHILDREN'S HOME
Other - Org Name:MARKLUND
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GILBERT
Authorized Official - Middle Name:W
Authorized Official - Last Name:FONGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-593-5500
Mailing Address - Street 1:1S450 WYATT DR
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:IL
Mailing Address - Zip Code:60134-4921
Mailing Address - Country:US
Mailing Address - Phone:630-593-5500
Mailing Address - Fax:
Practice Address - Street 1:1S450 WYATT DR
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:IL
Practice Address - Zip Code:60134-4921
Practice Address - Country:US
Practice Address - Phone:630-593-5500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-20
Last Update Date:2017-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies