MEDICARE: ALC PALLIATIVE AND HOSPICE CARE, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician

General Provider Information

NPI Number	:	1235614926
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALC PALLIATIVE AND HOSPICE CARE, INC

Provider Business Mailing Address
First Line	:	360 W BUTTERFIELD RD STE 325
Second Line	:
City	:	ELMHURST
State	:	IL
Zip	:	60126-5088
Country	:	US
Telephone Number	:	630-480-6887
Fax Number	:	630-480-6808

Provider Business Practice Location Address
First Line	:	360 W BUTTERFIELD RD STE 325
Second Line	:
City	:	ELMHURST
State	:	IL
Zip	:	60126-5088
Country	:	US
Telephone Number	:	630-480-6887
Fax Number	:	630-480-6808

Authorized Official
Title or Position	:	OWNER
Name	:	MR. ANTHONY SICILIANO
Credential	:
Telephone Number	:	630-480-6887

Provider Enumeration Date	:	09/27/2018
Last Update Date	:	09/17/2024

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