Organization
V CARE HOSPICE SERVICES OF ILLINOIS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL WATERS RN (PRESIDENT)
(847) 272-5883
Entity
Organization
Contact information
Practice address
3100 DUNDEE RD, SUITE 303, NORTHBROOK, IL 60062-2459
(847) 272-5883
(847) 272-5884
Mailing address
3100 DUNDEE RD, SUITE 303, NORTHBROOK, IL 60062-2437
(847) 272-5883
(847) 272-5884
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2003069
ILLINOIS DEPARTMENT OF PUBLIC HEALTH LICENSE
IL
Enumeration date
10/24/2011
Last updated
02/26/2016
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