Provider Demographics
NPI:1578885182
Name:HILLSBORO AREA HOSPITAL
Entity Type:Organization
Organization Name:HILLSBORO AREA HOSPITAL
Other - Org Name:TEAMWORK REHAB
Other - Org Type:Other Name
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:LEGENDRE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, OTR/L
Authorized Official - Phone:217-532-6111
Mailing Address - Street 1:1210 E TREMONT ST
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:IL
Mailing Address - Zip Code:62049-1912
Mailing Address - Country:US
Mailing Address - Phone:217-532-6111
Mailing Address - Fax:217-532-4166
Practice Address - Street 1:120 W SAINT JOHN ST
Practice Address - Street 2:STE 2
Practice Address - City:LITCHFIELD
Practice Address - State:IL
Practice Address - Zip Code:62056-2169
Practice Address - Country:US
Practice Address - Phone:217-324-6601
Practice Address - Fax:217-532-4166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-23
Last Update Date:2010-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access