Provider Demographics
NPI:1083862452
Name:KINDRED THC CHICAGO, LLC
Entity Type:Organization
Organization Name:KINDRED THC CHICAGO, LLC
Other - Org Name:D/B/A KINDRED HOSPITAL - SYCAMORE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASSISTANT SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:TERRANCE
Authorized Official - Middle Name:K
Authorized Official - Last Name:DILLON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-596-7220
Mailing Address - Street 1:225 EDWARD ST
Mailing Address - Street 2:
Mailing Address - City:SYCAMORE
Mailing Address - State:IL
Mailing Address - Zip Code:60178-2137
Mailing Address - Country:US
Mailing Address - Phone:815-895-2144
Mailing Address - Fax:815-895-7057
Practice Address - Street 1:225 EDWARD ST
Practice Address - Street 2:
Practice Address - City:SYCAMORE
Practice Address - State:IL
Practice Address - Zip Code:60178
Practice Address - Country:US
Practice Address - Phone:815-895-2144
Practice Address - Fax:815-895-7057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-28
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes282E00000XHospitalsLong Term Care Hospital
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty