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Organization
KINDRED THC CHICAGO, LLC
Active
Organization
KINDRED THC CHICAGO, LLC
Active
Other names
Kindred Hospital - Chicago
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRANCE K. DILLON (ASSISTANT SECRETARY)
(502) 596-7220
Entity
Organization
Contact information
Practice address
2544 W MONTROSE AVE, CHICAGO, IL 60618
(773) 267-2622
(773) 267-2685
Mailing address
2544 W MONTROSE AVE, CHICAGO, IL 60618-1537
(773) 267-2622
(773) 267-2685
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
—
—
282E00000X
Long Term Care Hospital
Primary
0004937
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106
BLUE CROSS
IL
Enumeration date
10/25/2006
Last updated
05/06/2019
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