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General NPI Number Information
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NPI Number | 1235614926
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Entity Type | Organization
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Legal Business Name | ALC PALLIATIVE AND HOSPICE CARE, INC
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Dates
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Enumeration Date | 09/27/2018
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Last Update Date | 09/17/2024
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Provider Practice Location Address
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Address Line | 360 W BUTTERFIELD RD STE 325
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City | ELMHURST
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State | IL
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Zip | 60126-5088
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Country | US
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Telephone | 630-480-6887
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Fax | 630-480-6808
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Provider Business Mailing Address
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Address Line | 360 W BUTTERFIELD RD STE 325
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City | ELMHURST
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State | IL
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Zip | 60126-5088
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Country | US
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Telephone | 630-480-6887
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Fax | 630-480-6808
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Authorized Official
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Title or Position | OWNER
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Name | MR. ANTHONY SICILIANO
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Credential |
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Telephone | 630-480-6887
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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