Healthcare Provider Details

I. General information

NPI: 1235614926
Provider Name (Legal Business Name): ALC PALLIATIVE AND HOSPICE CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2018
Last Update Date: 09/17/2024
Certification Date: 09/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

360 W BUTTERFIELD RD STE 325
ELMHURST IL
60126-5088
US

IV. Provider business mailing address

360 W BUTTERFIELD RD STE 325
ELMHURST IL
60126-5088
US

V. Phone/Fax

Practice location:
  • Phone: 630-480-6887
  • Fax: 630-480-6808
Mailing address:
  • Phone: 630-480-6887
  • Fax: 630-480-6808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. ANTHONY SICILIANO
Title or Position: OWNER
Credential:
Phone: 630-480-6887