CCN: 141727 NPI: 1104548478 Organization

Bristol Hospice - Chicago, LLC

2800 S RIVER RD STE 440
DES PLAINES, IL 600184202

Contact Information

Phone 8727771750
Fax 8727026450
Enumeration Date 2022-09-14
Last Updated 2026-02-11

Taxonomies

Code: 251G00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 35

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 16974

providerType 35

specialPaymentIndicator

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16974

providerType 35

specialPaymentIndicator

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16974

providerType 35

specialPaymentIndicator

carrierCode 06102

localityCode 16