Healthcare Provider Details

I. General information

NPI: 1700889656
Provider Name (Legal Business Name): SEASONS HOSPICE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2005
Last Update Date: 05/02/2024
Certification Date: 05/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6400 SHAFER CT STE 300
ROSEMONT IL
60018-4929
US

IV. Provider business mailing address

6400 SHAFER CT STE 700
ROSEMONT IL
60018-4914
US

V. Phone/Fax

Practice location:
  • Phone: 847-759-9449
  • Fax: 847-759-9449
Mailing address:
  • Phone: 847-759-9449
  • Fax: 847-759-9449

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number2002012
License Number StateIL

VIII. Authorized Official

Name: HEATHER SISCEL
Title or Position: VP LEGAL
Credential:
Phone: 847-759-9449