Provider Demographics
NPI:1669079141
Name:SPECTRUM HOSPICE AND PALLIATIVE CARE, INC.
Entity type:Organization
Organization Name:SPECTRUM HOSPICE AND PALLIATIVE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROLFE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-409-7868
Mailing Address - Street 1:2604 DEMPSTER ST STE 205
Mailing Address - Street 2:
Mailing Address - City:PARK RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60068-8426
Mailing Address - Country:US
Mailing Address - Phone:847-409-7868
Mailing Address - Fax:
Practice Address - Street 1:2604 DEMPSTER ST STE 205
Practice Address - Street 2:
Practice Address - City:PARK RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60068-8426
Practice Address - Country:US
Practice Address - Phone:847-409-7868
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-07
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based