Organization
KINDRED THC CHICAGO, LLC
Active
Other names
Kindred Hospital - Sycamore
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRANCE K. DILLON (ASSISTANT SECRETARY)
(502) 596-7220
Entity
Organization
Contact information
Practice address
225 EDWARD ST, SYCAMORE, IL 60178
(815) 895-2144
(815) 895-7057
Mailing address
225 EDWARD ST, SYCAMORE, IL 60178-2137
(815) 895-2144
(815) 895-7057
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
0004945
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28
BLUE CROSS
IL
Enumeration date
10/25/2006
Last updated
05/06/2019
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