Provider Demographics
NPI:1508093105
Name:MONARCH HOSPICE & PALLIATIVE CARE
Entity Type:Organization
Organization Name:MONARCH HOSPICE & PALLIATIVE CARE
Other - Org Name:PALLIATIVE CARE
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF OPERAT. & REGULATORY OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:D
Authorized Official - Last Name:ZIERLE
Authorized Official - Suffix:
Authorized Official - Credentials:MHA RHIA
Authorized Official - Phone:847-885-1818
Mailing Address - Street 1:3115 N WILKE RD
Mailing Address - Street 2:SUITE H
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-1400
Mailing Address - Country:US
Mailing Address - Phone:847-885-1818
Mailing Address - Fax:847-797-8263
Practice Address - Street 1:3115 N WILKE RD
Practice Address - Street 2:SUITE H
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-1400
Practice Address - Country:US
Practice Address - Phone:847-885-1818
Practice Address - Fax:847-797-8263
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MONARCH HOSPICE & PALLIATIVE CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-06-22
Last Update Date:2009-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2002434251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========001Medicaid
IL141618Medicare PIN