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Organization
HOSPICE OF KANKAKEE VALLEY PALLIATIVE CLINIC
Active
Organization
HOSPICE OF KANKAKEE VALLEY PALLIATIVE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DOROTHEA M. LAGESSE MBA, HACP (EXECUTIVE DIRECTOR)
(815) 936-3370
Entity
Organization
Contact information
Practice address
482 MAIN STREET NW, BOURBONNAIS, IL 60914-2331
(815) 936-3370
(815) 936-3375
Mailing address
482 MAIN STREET NW, BOURBONNAIS, IL 60914-2331
(815) 936-3370
(815) 936-3375
Taxonomy
Speciality
Code
Description
License number
State
315D00000X
Inpatient Hospice
Primary
2000420
IL
Other
Enumeration date
10/17/2006
Last updated
08/22/2020
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