Beacon Pace Illinois LLC

NPI #1538991104 in Crestwood, Illinois

Provider Information

NPI Number: 1538991104
Entity Type: Organization
Organization Name: Beacon Pace Illinois LLC
Primary Specialty: Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
Enumeration Date: Aug 14, 2024
Last Updated: Jan 6, 2026

Practice Location

Address: 5419 135TH ST
City: Crestwood
State: Illinois
ZIP Code: 60418-1529
Phone: (855) 801-2653

Authorized Official

Name: MICHAEL CZERMAK
Title: CHIEF ADMINISTRATIVE OFFICER
Phone: (855) 801-2653

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization	251T00000X	Primary

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