Healthcare Provider Details

I. General information

NPI: 1518661545
Provider Name (Legal Business Name): DESTINY HOSPICE AND PALLIATIVE CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2023
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 W NORTH AVE
ADDISON IL
60101-4911
US

IV. Provider business mailing address

350 W NORTH AVE
ADDISON IL
60101-4911
US

V. Phone/Fax

Practice location:
  • Phone: 630-743-8979
  • Fax: 224-345-3930
Mailing address:
  • Phone: 630-743-9858
  • Fax: 630-931-0584

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MIRZA A BAIG
Title or Position: PRESIDENT
Credential:
Phone: 773-744-7864