Provider Demographics
NPI:1588387229
Name:TRANSITIONS PALLIATIVE AND PRIMARY CARE OF OHIO CO PA
Entity type:Organization
Organization Name:TRANSITIONS PALLIATIVE AND PRIMARY CARE OF OHIO CO PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:PALAZZO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-515-1505
Mailing Address - Street 1:1551 BOND ST # 151
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-0137
Mailing Address - Country:US
Mailing Address - Phone:847-515-1505
Mailing Address - Fax:
Practice Address - Street 1:3232 EXECUTIVE PKWY STE 101
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-5527
Practice Address - Country:US
Practice Address - Phone:847-515-1505
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-19
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative MedicineGroup - Multi-Specialty