MEDICARE: VHS OF ILLINOIS 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	251G00000X	Community Based Hospice Care Agency	2002087	IL

General Provider Information

NPI Number	:	1497733042
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VHS OF ILLINOIS INC

Provider Business Mailing Address
First Line	:	20 BURTON HILLS BLVD STE 100
Second Line	:	ATTENTION: CAROL BAILEY
City	:	NASHVILLE
State	:	TN
Zip	:	37215-6409
Country	:	US
Telephone Number	:	615-665-6000
Fax Number	:	615-665-6184

Provider Business Practice Location Address
First Line	:	3249 SOUTH OAK PARK AVE
Second Line	:
City	:	BERWYN
State	:	IL
Zip	:	60402-3429
Country	:	US
Telephone Number	:	708-783-3222
Fax Number	:	708-783-3489

Authorized Official
Title or Position	:	VP OF GOVT PROGRAMS, TENET
Name	:	CRAIG C. ARMIN
Credential	:
Telephone Number	:	818-436-2267

Provider Enumeration Date	:	01/04/2006
Last Update Date	:	03/16/2021

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