Provider Demographics
NPI:1740996891
Name:EUKHARIS LLC
Entity type:Organization
Organization Name:EUKHARIS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PABLO
Authorized Official - Middle Name:
Authorized Official - Last Name:JANOWICZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-691-9228
Mailing Address - Street 1:222 E WISCONSIN AVE STE 306
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60045-1723
Mailing Address - Country:US
Mailing Address - Phone:847-874-8226
Mailing Address - Fax:
Practice Address - Street 1:222 E WISCONSIN AVE STE 306
Practice Address - Street 2:
Practice Address - City:LAKE FOREST
Practice Address - State:IL
Practice Address - Zip Code:60045-1723
Practice Address - Country:US
Practice Address - Phone:847-691-9228
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-23
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care