Provider Demographics
NPI:1649209925
Name:HILL TOP CENTER
Entity Type:Organization
Organization Name:HILL TOP CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:STEVENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-295-1550
Mailing Address - Street 1:502 N WAUKEGAN RD
Mailing Address - Street 2:
Mailing Address - City:LAKE BLUFF
Mailing Address - State:IL
Mailing Address - Zip Code:60044-1570
Mailing Address - Country:US
Mailing Address - Phone:847-295-1550
Mailing Address - Fax:847-295-1652
Practice Address - Street 1:502 N WAUKEGAN RD
Practice Address - Street 2:
Practice Address - City:LAKE BLUFF
Practice Address - State:IL
Practice Address - Zip Code:60044-1570
Practice Address - Country:US
Practice Address - Phone:847-295-1550
Practice Address - Fax:847-295-1652
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282J00000XHospitalsReligious Nonmedical Health Care Institution
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL141990Medicare ID - Type UnspecifiedPROVIDER NUMBER