Organization
SHILOH HOSPICE & PALLIATIVE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BABATUNDE ADEOSUN APN, FNP-C, CRNA. (DIRECTOR)
(773) 886-6894
Entity
Organization
Contact information
Practice address
603 E 170TH ST, SOUTH HOLLAND, IL 60473-3408
(708) 705-5841
(708) 575-3400
Mailing address
603 E 170TH ST, SOUTH HOLLAND, IL 60473-3408
(773) 886-6894
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2003186
ILLINOIS HOSPICE LICENSE
IL
Enumeration date
08/12/2020
Last updated
08/27/2020
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