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Organization

PASSAGES HOSPICE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SETH GILLMAN (ADMINISTRATOR)
(630) 824-0400
Entity
Organization

Contact information

Practice address
515 WARRENVILLE ROAD, LISLE, IL 60532-1307
(630) 824-0400
(630) 395-9235
Mailing address
515 WARRENVILLE ROAD, LISLE, IL 60532-1307
(630) 824-0400
(630) 395-9235

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
141620
IL
251G00000X
Community Based Hospice Care Agency
2002376
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2002376
IL
Enumeration date
07/07/2005
Last updated
02/20/2012
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