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General NPI Number Information
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NPI Number | 1871481101
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Entity Type | Organization
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Legal Business Name | ECHO HOSPICE OF CHICAGO, LLC
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Dates
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Enumeration Date | 06/25/2025
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 15255 S 94TH AVE STE 506
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City | ORLAND PARK
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State | IL
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Zip | 60462-3800
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Country | US
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Telephone | 708-887-7481
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Fax | 708-852-3176
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Provider Business Mailing Address
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Address Line | 12680 HIGH BLUFF DR STE 150
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City | SAN DIEGO
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State | CA
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Zip | 92130-2232
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Country | US
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Telephone | 918-576-3070
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Fax | 918-516-0609
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | CHRIS LACKNER
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Credential |
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Telephone | 918-576-3070
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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 |
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License Number State |
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