MEDICARE: UNITY HOSPICE OF CHICAGOLAND 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	207QH0002X	Hospice and Palliative Medicine (Family Medicine) Physician
2	251G00000X	Community Based Hospice Care Agency	2002525	IL

General Provider Information

NPI Number	:	1598844474
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITY HOSPICE OF CHICAGOLAND LLC

Provider Business Mailing Address
First Line	:	4101 MAIN ST
Second Line	:
City	:	SKOKIE
State	:	IL
Zip	:	60076-2753
Country	:	US
Telephone Number	:	847-982-1800
Fax Number	:	847-982-1801

Provider Business Practice Location Address
First Line	:	600 W CERMAK RD STE 3D
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60616-2268
Country	:	US
Telephone Number	:	312-427-6000
Fax Number	:	312-427-6004

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MICHAEL KLEIN
Credential	:
Telephone Number	:	847-982-2300

Provider Enumeration Date	:	11/03/2006
Last Update Date	:	10/21/2022

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