NPIMap

Organization Active NPI

Marathon Health, LLC

  • Non-Pharmacy Dispensing Site
  • Crestwood, IL
National Provider Identifier
1346915600
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
MARATHON HEALTH, LLC
Practice address
4736 Cal Sag Rd
Suite a
Crestwood, IL 60418-1423
Phone
(312) 421-1016
Fax
(708) 390-7001
NPI assigned
Aug 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Authorized official

Name
Erin Smith
Title
Pharmacy Director
Phone
(816) 304-1933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

4736 Cal Sag Rd
Suite a
Crestwood, IL 60418-1423

Mailing address

4736 Cal Sag Rd
Suite a
Crestwood, IL 60445-1423
Phone (312) 421-1016

Other names 1

  • UWC- Crestwood Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Marathon Health LLC130 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 14

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 14

Locations

4742 Cal Sag Rd
Crestwood, IL 60418
Phone (708) 915-2727

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1346915600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4736 CAL SAG RD",
            "address_2": "SUITE A",
            "city": "CRESTWOOD",
            "state": "IL",
            "postal_code": "604451423",
            "telephone_number": "312-421-1016",
            "fax_number": "708-390-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4736 CAL SAG RD",
            "address_2": "SUITE A",
            "city": "CRESTWOOD",
            "state": "IL",
            "postal_code": "604181423",
            "telephone_number": "312-421-1016",
            "fax_number": "708-390-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARATHON HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-10",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "816-304-1933"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UWC- Crestwood",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UWC- Crestwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crestwood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.