Carolmark Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

203000542 Issued in IL

Legal business name

CAROLMARK INC

Practice address

18118 1/2 Martin Ave
1Ee
Homewood, IL 60430-2120

Phone

(708) 922-0588

Fax

(708) 922-0599

NPI assigned

Nov 29, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Mark Arnold Elias, RCP

Title

President

Phone

(708) 922-0588

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• home air Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238025600000",
    "number": "1104800648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18118 1/2 MARTIN AVE",
            "address_2": "1EE",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302120",
            "telephone_number": "708-922-0588",
            "fax_number": "708-922-0599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18118 1/2 MARTIN AVE",
            "address_2": "1EE",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302120",
            "telephone_number": "708-922-0588",
            "fax_number": "708-922-0599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLMARK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-29",
        "last_updated": "2009-03-26",
        "status": "A",
        "authorized_official_last_name": "ELIAS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ARNOLD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-922-0588",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RCP"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "IL",
            "license": "203000542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "01619778",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "home air",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Asia N Campbell
• Autumn R Cano
• John Nicholas Canzona, PSY.D.
• Susan Marie Caputo, M.A. CCC SLP
• Caring Hands Home Health & Rehab. LLC
• Vicky Carter, LSW
• Ashley Simone Cartman, MA, LPC
• Karen M Casey, LCSW
• Emmet Michael Cassidy, MD
• Suvanna Chansiri

• Oxygen Equipment & Supplies (DME) in Homewood, IL
• Providers in Homewood, IL by specialty
• Oxygen Equipment & Supplies (DME) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.