NPIMap

Organization Active NPI

Marathon Health, LLC

Doing business as Live Well Health Center (UWC-Northlake)

  • Non-Pharmacy Dispensing Site
  • Northlake, IL
National Provider Identifier
1366950420
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
Doing business as
Live Well Health Center (UWC-Northlake)
Practice address
400 N Wolf Rd
Northlake, IL 60164-1659
Phone
(708) 551-1400
Fax
(708) 562-0672
NPI assigned
Jan 11, 2018
Last updated
Aug 17, 2023By the provider in NPPES
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 SmithNPI 1760405484
Title
Pharmacy Director
Phone
(816) 304-1933

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

400 N Wolf Rd
Northlake, IL 60164-1659

Mailing address

400 N Wolf Rd
Northlake, IL 60164-1659
Phone (708) 551-1400

Other names 1

  • Live Well Health Center (UWC-Northlake) Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Marathon Health LLC166 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 15

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

View all 15

Locations

400 N Wolf Rd
Northlake, IL 60164
Phone (708) 551-1400

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1515628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1366950420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N WOLF RD",
            "city": "NORTHLAKE",
            "state": "IL",
            "postal_code": "601641659",
            "telephone_number": "708-551-1400",
            "fax_number": "708-562-0672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N WOLF RD",
            "city": "NORTHLAKE",
            "state": "IL",
            "postal_code": "601641659",
            "telephone_number": "708-551-1400",
            "fax_number": "708-562-0672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARATHON HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-11",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Live Well Health Center (UWC-Northlake)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Northlake, 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.