Provider Demographics
NPI:1740650860
Name:ALC PALLIATIVE AND HOSPICE CARE, INC
Entity type:Organization
Organization Name:ALC PALLIATIVE AND HOSPICE CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:SICILIANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-368-1102
Mailing Address - Street 1:360 W BUTTERFIELD RD STE 325
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-5088
Mailing Address - Country:US
Mailing Address - Phone:630-480-6887
Mailing Address - Fax:630-480-6808
Practice Address - Street 1:360 W BUTTERFIELD RD STE 325
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-5088
Practice Address - Country:US
Practice Address - Phone:630-480-6887
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-01
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based