# PALOS COMMUNITY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PALOS COMMUNITY HOSPITAL HOME HEALTH AGENCY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790750016
- **Authorized official:** MR. JEFF L GOOD (PRESIDENT)
- **Authorized official phone:** (708) 923-5000

## Contact information

- **Practice address:** 15295 E. 127TH STREET, LEMONT, IL 60439
- **Practice address phone:** (630) 257-1111
- **Practice address fax:** (630) 257-1115
- **Mailing address:** 15295 E. 127TH STREET, LEMONT, IL 60439
- **Mailing address phone:** (630) 257-1111
- **Mailing address fax:** (630) 257-1115

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 1008069 | IL | Yes |

## Other

- **Enumeration date:** 02/21/2006
- **Last updated:** 07/10/2023