institution
Northern Illinois Hospice Association
Community Based Hospice Care Agency in Rockford, Illinois
NPI 1700884731

Northern Illinois Hospice Association is a Community Based Hospice Care Agency based in Rockford, IL. Northern Illinois Hospice Association practices in Rockford, IL. The NPI Number for Northern Illinois Hospice Association is 1700884731 and holds a License No. 2000313 (Illinois).

The current practice location address for Northern Illinois Hospice Association is 4751 Harrison Ave, Rockford, IL and can be reached out via phone at 815-398-0500 and via fax at 815-398-0588.

Location: 4751 Harrison Ave, Rockford, IL, 61108-7929
institution
Provider Profile Details
NPI Number
1700884731
Provider Name
Northern Illinois Hospice Association
Credential
Provider Entity Type
Organization
Address
4751 Harrison Ave, Rockford, IL, 61108-7929
Phone Number
815-398-0500
Fax Number
815-398-0588
Provider Enumeration Date
07/13/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9579 01 ID BLUECROSS/BLUESHIELD PROV
institution
Provider Business Practice Location Address Details
Address
4751 Harrison Ave
City
State
Zip
61108-7929
Phone Number
815-398-0500
Fax Number
815-398-0588
person
Provider Business Mailing Address Details
Address
4751 Harrison Ave
City
State
Zip
61108-7929
Phone Number
815-398-0500
Fax Number
815-398-0588
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Hospice Care, Community Based
Speciality
-
Taxonomy
License No.
2000313 (Illinois)
Definition
Definition to come...
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