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General NPI Number Information
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NPI Number | 1164456851
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Entity Type | Organization
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Legal Business Name | HOSPICE OF ILLINOIS, LLC
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 01/26/2024
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Provider Practice Location Address
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Address Line | 1011 E TOUHY AVE STE 170A
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City | DES PLAINES
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State | IL
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Zip | 60018-5802
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Country | US
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Telephone | 224-244-7381
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Fax | 773-539-4655
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Provider Business Mailing Address
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Address Line | 3010 LYNDON B JOHNSON FWY STE 1100
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City | DALLAS
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State | TX
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Zip | 75234-2712
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Country | US
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Telephone | 800-379-1600
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Fax | 903-537-8420
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Authorized Official
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Title or Position | COMPLIANCE AND PRIVACY OFFICER
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Name | KATIE MONASTIERE
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Credential |
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Telephone | 800-379-1600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 2001923
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License Number State | IL
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