Provider Demographics
NPI:1578803789
Name:ELDER CARE CONCEPTS LLC
Entity Type:Organization
Organization Name:ELDER CARE CONCEPTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:SCHORFHEIDE
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:773-391-3600
Mailing Address - Street 1:16808 ARBOR CREEK DR
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60586-5252
Mailing Address - Country:US
Mailing Address - Phone:773-391-3600
Mailing Address - Fax:
Practice Address - Street 1:16808 ARBOR CREEK DR
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60586-5252
Practice Address - Country:US
Practice Address - Phone:773-391-3600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-25
Last Update Date:2013-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209008734363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Single Specialty