Provider Demographics
NPI:1861972515
Name:LIFECHOICE HOSPICE LLC
Entity type:Organization
Organization Name:LIFECHOICE HOSPICE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSHKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-571-1771
Mailing Address - Street 1:800 E NORTHWEST HWY STE 526
Mailing Address - Street 2:
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60074-6542
Mailing Address - Country:US
Mailing Address - Phone:847-777-8888
Mailing Address - Fax:847-380-7638
Practice Address - Street 1:800 E NORTHWEST HWY STE 526
Practice Address - Street 2:
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60074-6542
Practice Address - Country:US
Practice Address - Phone:847-777-8888
Practice Address - Fax:847-380-7638
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-21
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251G00000XAgenciesHospice Care, Community Based
No207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative MedicineGroup - Single Specialty