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General NPI Number Information
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NPI Number | 1013857648
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Entity Type | Organization
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Legal Business Name | FREEDOM-ELITE II JOINT VENTURE
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Dates
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Enumeration Date | 04/01/2026
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Last Update Date | 04/01/2026
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Provider Practice Location Address
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Address Line | 612 S EDGEWATER LN
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City | SHOREWOOD
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State | IL
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Zip | 60404-9540
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Country | US
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Telephone | 815-926-2022
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Fax |
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Provider Business Mailing Address
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Address Line | 612 S EDGEWATER LN
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City | SHOREWOOD
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State | IL
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Zip | 60404-9540
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | JOSEPH SPIKER
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Credential |
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Telephone | 815-274-1279
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State |
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