| NPI | 1912623489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSENIA JARAMILLO Assistant Administrator 847-543-0045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2022-10-17 |
| Last Update Date | 2022-10-17 |