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Organization
HILLCREST HOME
Active
Organization
HILLCREST HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE KAUFMAN (DIRECTOR OF ACCOUNTING)
(309) 944-2147
Entity
Organization
Contact information
Practice address
14688 ILLINOIS HIGHWAY 82, GENESEO, IL 61254-8616
(309) 944-2147
(309) 944-8417
Mailing address
14688 ILLINOIS HIGHWAY 82, GENESEO, IL 61254-8616
(309) 944-2147
(309) 944-8417
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0001099
IL
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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