Provider Demographics
NPI:1235614926
Name:ALC PALLIATIVE AND HOSPICE CARE, INC
Entity Type:Organization
Organization Name:ALC PALLIATIVE AND HOSPICE CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:SICILIANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-480-6887
Mailing Address - Street 1:477 E BUTTERFIELD RD STE 400
Mailing Address - Street 2:
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-4881
Mailing Address - Country:US
Mailing Address - Phone:630-480-6887
Mailing Address - Fax:630-480-6808
Practice Address - Street 1:477 E BUTTERFIELD RD STE 400
Practice Address - Street 2:
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-4881
Practice Address - Country:US
Practice Address - Phone:630-480-6887
Practice Address - Fax:630-480-6808
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALC PALLIATIVE AND HOSPICE CARE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-09-27
Last Update Date:2018-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative MedicineGroup - Multi-Specialty