Organization
TOWN SQUARE HOSPICE ILLINOIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WIK (CHAIRMAN OF THE BOARD)
(330) 588-3803
Entity
Organization
Contact information
Practice address
112 W WASHINGTON ST STE 2B, MONTICELLO, IL 61856-1668
(217) 670-6990
(217) 606-7938
Mailing address
112 W WASHINGTON ST STE 2B, MONTICELLO, IL 61856-1668
(217) 670-6990
(217) 606-7938
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
04/17/2024
Last updated
03/07/2025
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