| Organization Name: | CAROLMARK INC |
| NPI Number: | 1104800648 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARK ARNOLD ELIAS (PRESIDENT) |
| Mailing Address: | 18118 1/2 Martin Ave 1ee Homewood |
| State: | IL US |
| Postal Code: | 604302120 |
| Phone Number: | 7089220588 |
| Fax Number: | 7089220599 |
| NPI Enumeration Date: | 11/29/2005 |
| NPI Last Update Date: | 03/26/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | 203000542 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |