Organization
RAINBOW HOSPICE AND PALLIATIVE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL SAMUEL MCHALE (CEO/PRESIDENT)
(847) 653-3210
Entity
Organization
Contact information
Practice address
1550 BISHOP CT, MOUNT PROSPECT, IL 60056-6039
(847) 685-9900
(847) 294-9613
Mailing address
1550 BISHOP CT, MOUNT PROSPECT, IL 60056
(847) 685-9900
(847) 294-9613
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
2000784
IL
251G00000X
Community Based Hospice Care Agency
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01632182
BLUECROSSBLUESHIELD PARTB
IL
01
—
9523
BLUECROSS BLUESHIELD
IL
Enumeration date
05/27/2005
Last updated
06/02/2016
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