Provider Demographics
NPI:1194699314
Name:FAMILY PARAMOUNT PALLIATIVE
Entity type:Organization
Organization Name:FAMILY PARAMOUNT PALLIATIVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BELUOLISA
Authorized Official - Middle Name:
Authorized Official - Last Name:OKONKWO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:331-305-5843
Mailing Address - Street 1:800 W 5TH AVE STE 208B
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-4936
Mailing Address - Country:US
Mailing Address - Phone:331-305-5843
Mailing Address - Fax:331-258-8300
Practice Address - Street 1:800 W 5TH AVE STE 208B
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-4936
Practice Address - Country:US
Practice Address - Phone:331-305-5843
Practice Address - Fax:331-258-8300
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FAMILY PARAMOUNT HOSPICE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-10-01
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative MedicineGroup - Single Specialty