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NPI Code Detail

MEDICARE: HOPEDALE MEDICAL FOUNDATION

MEDICARE: HOPEDALE MEDICAL FOUNDATION
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
1314000000XSkilled Nursing Facility0010132IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10010132OTHERILSTATE OF ILLINOIS - DEPARTMENT OF PUBLIC HEALTH

General Provider Information

NPI Number : 1598926347
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOPEDALE MEDICAL FOUNDATION
Provider Business Mailing Address
First Line : 107 TREMONT ST
Second Line :
City : HOPEDALE
State : IL
Zip : 61747-7525
Country : US
Telephone Number : 309-449-4415
Fax Number : 309-449-4278
Provider Business Practice Location Address
First Line : 107 TREMONT ST
Second Line :
City : HOPEDALE
State : IL
Zip : 61747-7525
Country : US
Telephone Number : 309-449-4415
Fax Number : 309-449-4278
Authorized Official
Title or Position : CEO
Name : DR. ALFRED NELLO ROSSI
Credential : M.D.
Telephone Number : 309-449-4338
Provider Enumeration Date : 06/24/2008
Last Update Date : 02/22/2023

Similar Medicare Providers

1821093980 — DR. JAMES WILLIAM SUNDAY O.D.
Practice Location Address:
107 TREMONT ST
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61747-7525
Practice Phone: 309-449-4042
Practice Fax: 309-449-4880
1427141787 — REBECCA PROEHL
Practice Location Address:
107 TREMONT ST
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1144313404 — TRENT D PROEHL M.D.
Practice Location Address:
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1922269166 — ALFRED N ROSSI MD SC
Practice Location Address:
107 TREMONT ST
HOPEDALE, IL
61747-7525
Practice Phone: 309-449-4450
Practice Fax:
1841441607 — MS. KAREN ANN WATT R.D.
Practice Location Address:
107 TREMONT ST
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1801033071 — HOPEDALE MEDICAL FOUNDATION
Practice Location Address:
107 TREMONT ST
HOPEDALE, IL
61747-7525
Practice Phone: 309-449-3321
Practice Fax:

Directions to “HOPEDALE MEDICAL FOUNDATION ” Practice Location

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