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14D2100789 CLIA NUMBER - CHICAGO HOPE AND PALLIATIVE HEALTHCARE INC

Laboratory Demographics

CLIA Number: 14D2100789

Facility Name: CHICAGO HOPE AND PALLIATIVE HEALTHCARE INC

Facility Address:
9944 S ROBERTS RD, STE 101
PALOS HILLS, IL
ZIP 60465
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Facility Phone Number: 708 598-2509

Facility Type: Hospice

Certificate Type: Waiver
NPI Number: 1588047211

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name Field Value
CLIA Number 14D2100789
LAB Type Hospice
Facility Name CHICAGO HOPE AND PALLIATIVE HEALTHCARE INC
Street 9944 S ROBERTS RD, STE 101
City PALOS HILLS
State IL
ZIP 60465
Phone 708 598-2509
CertificateType 4
CertificateEffectiveDate 8/21/2023
CertificateExpirationDate 8/20/2025
FacilityType Waiver

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