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NPI Code Detail

MEDICARE: A TOUCH OF GRACE HOSPICE

MEDICARE: A TOUCH OF GRACE HOSPICE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251G00000XCommunity Based Hospice Care Agency1688275IL

General Provider Information

NPI Number : 1063467561
Entity Type Code : Organization
Provider Name (Legal Business Name) : A TOUCH OF GRACE HOSPICE
Provider Business Mailing Address
First Line : 1033 W VAN BUREN ST
Second Line :
City : CHICAGO
State : IL
Zip : 60607-2972
Country : US
Telephone Number : 312-733-2317
Fax Number : 312-733-2392
Provider Business Practice Location Address
First Line : 1033 W VAN BUREN ST, STE 705
Second Line :
City : CHICAGO
State : IL
Zip : 60607-2972
Country : US
Telephone Number : 312-733-2317
Fax Number : 312-733-2392
Authorized Official
Title or Position : ADMINISTRATOR
Name : JENNIFER D MOORE
Credential :
Telephone Number : 312-733-2317
Provider Enumeration Date : 05/23/2006
Last Update Date : 08/22/2020

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Directions to “A TOUCH OF GRACE HOSPICE ” Practice Location

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