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General NPI Number Information
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NPI Number | 1023604063
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Entity Type | Organization
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Legal Business Name | AHVA CARE OF WINFIELD, LLC
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Dates
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Enumeration Date | 12/14/2020
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Last Update Date | 12/14/2020
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Provider Practice Location Address
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Address Line | 28W141 LIBERTY ST
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City | WINFIELD
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State | IL
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Zip | 60190-1955
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Country | US
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Telephone | 630-668-9696
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Fax |
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Provider Business Mailing Address
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Address Line | 8140 MCCORMICK BLVD STE 137
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City | SKOKIE
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State | IL
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Zip | 60076-2920
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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 | MANAGER
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Name | BARAK BAVER
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Credential |
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Telephone | 847-674-2800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number |
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License Number State |
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