Provider Demographics
NPI:1447284518
Name:HORIZON HOSPICE AND PALLIATIVE CARE INC
Entity type:Organization
Organization Name:HORIZON HOSPICE AND PALLIATIVE CARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:GRACE
Authorized Official - Last Name:RUNGE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:312-733-8900
Mailing Address - Street 1:833 W CHICAGO AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60622-5449
Mailing Address - Country:US
Mailing Address - Phone:312-733-8900
Mailing Address - Fax:312-226-8381
Practice Address - Street 1:833 W CHICAGO AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60622-5449
Practice Address - Country:US
Practice Address - Phone:312-733-8900
Practice Address - Fax:312-226-8381
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2000073261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL209083Medicare UPIN