| Organization Name: | RESIDENTIAL HOSPICE ILLINOIS, LLC |
| NPI Number: | 1831459304 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MADEARA CARON (BILLING MANAGER) |
| Mailing Address: | 1431 Opus Pl Suite 310 Downers Grove |
| State: | IL US |
| Postal Code: | 605151166 |
| Phone Number: | 8669025854 |
| Fax Number: | 8663948956 |
| NPI Enumeration Date: | 05/18/2012 |
| NPI Last Update Date: | 04/22/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |