| Organization Name: | VITAS HEALTHCARE CORPORATION OF ILLINOIS |
| NPI Number: | 1295877843 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JORGE MELERO (SR. DIRECTOR) |
| Mailing Address: | 105 Marquette St Suite A La Salle |
| State: | IL US |
| Postal Code: | 613012470 |
| Phone Number: | 8152200021 |
| Fax Number: | 8152200115 |
| NPI Enumeration Date: | 02/12/2007 |
| NPI Last Update Date: | 09/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 2002160 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |