Provider Demographics
NPI:1437819935
Name:ANODYNE PALLIATIVE SERVICES LLC
Entity Type:Organization
Organization Name:ANODYNE PALLIATIVE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ZEENAT
Authorized Official - Middle Name:
Authorized Official - Last Name:MOHAMMED
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:630-770-0684
Mailing Address - Street 1:999 N MAIN ST STE 102A
Mailing Address - Street 2:
Mailing Address - City:GLEN ELLYN
Mailing Address - State:IL
Mailing Address - Zip Code:60137-3572
Mailing Address - Country:US
Mailing Address - Phone:630-770-0684
Mailing Address - Fax:
Practice Address - Street 1:999 N MAIN ST STE 102A
Practice Address - Street 2:
Practice Address - City:GLEN ELLYN
Practice Address - State:IL
Practice Address - Zip Code:60137-3572
Practice Address - Country:US
Practice Address - Phone:630-770-0684
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-23
Last Update Date:2021-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based