Kindred THC Chicago, LLC

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

License

0004945 Issued in IL

Legal business name

KINDRED THC CHICAGO, LLC

Doing business as

Kindred Hospital - Sycamore

Practice address

225 Edward St
Sycamore, IL 60178

Phone

(815) 895-2144

Fax

(815) 895-7057

NPI assigned

Oct 25, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Terrance K. Dillon

Title

Assistant Secretary

Phone

(502) 596-7220

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kindred Hospital - Sycamore Doing business as

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557100800000",
    "number": "1780769257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 EDWARD ST",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601782137",
            "telephone_number": "815-895-2144",
            "fax_number": "815-895-7057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 EDWARD ST",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "60178",
            "telephone_number": "815-895-2144",
            "fax_number": "815-895-7057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED THC CHICAGO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2019-05-06",
        "status": "A",
        "authorized_official_last_name": "DILLON",
        "authorized_official_first_name": "TERRANCE",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "502-596-7220",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "IL",
            "license": "0004945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "28",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindred Hospital - Sycamore",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kindred Hospital - Sycamore",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Asra F Khan, MD
• Khadeeja Khan, PA-C
• Kindred Heathcare Operating, LLC
• Kindred Sycamore, LLC
• Kindred THC Chicago, LLC
• Darrin S King, D.D.S.
• Thomas Kirts, M.D.
• Kishwaukee Cardiology Associates, LTD
• Kishwaukee Cardiology Associates, LTD.
• Kishwaukee Community Health Services Center

• Long Term Care Hospital in Sycamore, IL
• Providers in Sycamore, IL by specialty
• Long Term Care Hospital in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.