MEDICARE: 24/7 HOSPICE AND PALLIATIVE CARE LLC

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
1	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1568707560
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	24/7 HOSPICE AND PALLIATIVE CARE LLC

Provider Business Mailing Address
First Line	:	930 N YORK RD
Second Line	:	SUITE # 50
City	:	HINSDALE
State	:	IL
Zip	:	60521-2991
Country	:	US
Telephone Number	:	630-214-9716
Fax Number	:	630-599-1350

Provider Business Practice Location Address
First Line	:	930 N YORK RD
Second Line	:	SUITE # 50
City	:	HINSDALE
State	:	IL
Zip	:	60521-2991
Country	:	US
Telephone Number	:	630-214-9716
Fax Number	:	630-599-1350

Authorized Official
Title or Position	:	PRESIDENT
Name	:	VILASINI RAVANAM
Credential	:
Telephone Number	:	630-214-9716

Provider Enumeration Date	:	12/01/2012
Last Update Date	:	12/01/2012

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