Provider Demographics
NPI:1447631585
Name:ESK HOME SERVICES
Entity type:Organization
Organization Name:ESK HOME SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:G
Authorized Official - Last Name:SHACKEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-836-2635
Mailing Address - Street 1:1523 PLAINFIELD RD STE 3
Mailing Address - Street 2:
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60435-4095
Mailing Address - Country:US
Mailing Address - Phone:815-836-2635
Mailing Address - Fax:708-668-4187
Practice Address - Street 1:1523 PLAINFIELD RD STE 3
Practice Address - Street 2:
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60435-4095
Practice Address - Country:US
Practice Address - Phone:815-836-2635
Practice Address - Fax:708-668-4187
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-15
Last Update Date:2017-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3000505253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care