Organization
RAINBOW HOSPICE AND PALLIATIVE CARE
Active
Other names
Presence Hospice - Urbana
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GORDON (CFO)
(708) 478-7911
Entity
Organization
Contact information
Practice address
1501 INTERSTATE DR, CHAMPAIGN, IL 61822-1006
(217) 353-3400
Mailing address
2380 E DEMPSTER ST, DES PLAINES, IL 60016-4839
(847) 493-4835
(847) 493-4923
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
2001873
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50607
BLUE CROSS
—
Enumeration date
06/01/2006
Last updated
04/04/2016
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