1103 Health Partners, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

1103 HEALTH PARTNERS, LLC

Doing business as

Interim Hospice of Northern Illinois

Practice address

1585 N Milwaukee Ave Ste 105
Libertyville, IL 60048-1359

Phone

(847) 433-5650

NPI assigned

Nov 19, 2024

Last updated

Sep 30, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

1103 HEALTH PARTNERS, LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Steven James Alessandro, PSYD

Title

Ceo

Phone

(847) 457-1808

Specialties & licenses 1

Addresses

Other names 1

• Interim Hospice of Northern Illinois Doing business as

Electronic endpoints 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

1103 Health Partners LLC2 organizations share this tax ID, including this one

Part of

1103 Health Partners LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• 1103 Health Partners, LLC

  dba Interim Healthcare of Lake County

  • Home Health Agency
  • Libertyville, IL
  • NPI 1699218271
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• 1103 Health Partners, LLC

  dba Interim Healthcare of Lake County

  • Home Health Agency
  • Libertyville, IL
  • NPI 1699218271
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1134944754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 N MILWAUKEE AVE STE 105",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600481359",
            "telephone_number": "847-433-5650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 N MILWAUKEE AVE STE 105",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600481359",
            "telephone_number": "847-433-5650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1103 HEALTH PARTNERS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "1103 HEALTH PARTNERS, LLC",
        "enumeration_date": "2024-11-19",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "ALESSANDRO",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-457-1808",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S PRICE RD STEB",
            "city": "BROWNSVILLE",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Interim Hospice of Northern Illinois",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 1103 Health Partners, LLC (Interim Healthcare of Lake County)
• 1St Choice Chiropractic LLC
• 730 North Optometry PC (730 north optometry)
• A Podolskiy MD SC
• A. Podolskiy, MD, SC

• Community Based Hospice Care Agency in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Community Based Hospice Care Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.