Provider Demographics
NPI:1710942941
Name:COMPANION HEALTH SERVICES INC
Entity type:Organization
Organization Name:COMPANION HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:LATINIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-864-4901
Mailing Address - Street 1:2400 E DEVON AVE STE 281
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60018-4629
Mailing Address - Country:US
Mailing Address - Phone:617-227-0830
Mailing Address - Fax:847-450-1666
Practice Address - Street 1:2400 E DEVON AVE STE 281
Practice Address - Street 2:
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60018-4629
Practice Address - Country:US
Practice Address - Phone:847-864-4901
Practice Address - Fax:617-227-8939
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-19
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
RICH17000Medicaid
MA0000375754OtherBCBS
MA1537016Medicaid
MA1537016Medicaid