KINDRED THC CHICAGO, LLC
Long Term Care Hospital
Sycamore, Illinois
Provider NPI: 1780769257
Organization Information:Organization Name: KINDRED THC CHICAGO, LLC
Practice Location:
225 EDWARD ST SYCAMORE, IL 60178 US
Tel: 815-895-2144 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
225 EDWARD ST SYCAMORE, IL 60178 US
Tel: 815-895-2144 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 282E00000X | Hospitals Long Term Care Hospital | IL | 0004945 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BLUE CROSS | 28 | IL | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin