=====================================================
General NPI Number Information
=====================================================
NPI Number | 1841943156
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ADDUS HOSPICE OF ILLINOIS, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/27/2022
-----------------------------------------------------
Last Update Date | 11/13/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1717 DEERFIELD RD STE 101
-----------------------------------------------------
City | DEERFIELD
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60015-3900
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 847-467-7423
-----------------------------------------------------
Fax | 847-551-1701
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6303 COWBOYS WAY STE 600
-----------------------------------------------------
City | FRISCO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75034-0329
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 469-535-8200
-----------------------------------------------------
Fax | 205-379-6720
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT & COO
-----------------------------------------------------
Name | MS. HEATHER DIXON
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 469-535-8200
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251G00000X
-----------------------------------------------------
Taxonomy Name | Community Based Hospice Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------