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14D0704284 CLIA NUMBER - GLENDALE HEIGHTS HEALTHCARE CENTER

Laboratory Demographics

CLIA Number: 14D0704284

Facility Name: GLENDALE HEIGHTS HEALTHCARE CENTER

Facility Address:
113 W LAKE ST
BLOOMINGDALE, IL
ZIP 60108
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Facility Phone Number: 630 894-8600

Facility Type: Physician Office

Certificate Type: Microscopy
NPI Number: 1740404680

Taxonomy: 207QH0002X - Family Medicine
A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.

CLIA Record

Field Name Field Value
CLIA Number 14D0704284
LAB Type Physician Office
Facility Name GLENDALE HEIGHTS HEALTHCARE CENTER
Street 113 W LAKE ST
City BLOOMINGDALE
State IL
ZIP 60108
Phone 630 894-8600
CertificateType 3
CertificateEffectiveDate 9/1/2022
CertificateExpirationDate 8/31/2024
FacilityType PPMP

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This page was last updated on: 4/23/2024