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NPI 1104906767

OrganizationActive

Hospice of Kankakee Valley Palliative Clinic

NPI 1104906767 · Inpatient Hospice · Bourbonnais, IL

Provider details

NPI number: 1104906767
Entity type: Organization
Primary specialty: Inpatient HospiceNursing & Custodial Care Facilities
Authorized official: Dorothea Lagesse, Executive Director
License: 2000420 (IL)

Practice location

482 Main Street Nw

Bourbonnais, IL 60914-2331

Phone: (815) 936-3370

Fax: (815) 936-3375

More IL providers

Mailing address

482 Main Street Nw

Bourbonnais, IL 60914-2331

Registry dates

Enumerated: 2006-10-17
Last updated: 2020-08-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Hospice of Kankakee Valley Palliative Clinic — NPI 1104906767, Bourbonnais, IL | NPI Central