Provider Demographics
NPI:1962741439
Name:HOSPICE SANCTUARY OF ILLINOIS LLC
Entity type:Organization
Organization Name:HOSPICE SANCTUARY OF ILLINOIS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ARDELEAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-330-3000
Mailing Address - Street 1:3101 N CALIFORNIA AVE
Mailing Address - Street 2:SUITE 1N
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60618-7007
Mailing Address - Country:US
Mailing Address - Phone:602-330-3000
Mailing Address - Fax:773-267-5501
Practice Address - Street 1:3101 N CALIFORNIA AVE
Practice Address - Street 2:SUITE 1N
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60618-7007
Practice Address - Country:US
Practice Address - Phone:602-330-3000
Practice Address - Fax:773-267-5501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-04
Last Update Date:2013-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based