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General NPI Number Information
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NPI Number | 1033214416
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Entity Type | Organization
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Legal Business Name | COMMUNITY FIRST HEALTHCARE OF ILLINOIS, INC
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 02/18/2015
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Provider Practice Location Address
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Address Line | 5645 W ADDISON ST
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City | CHICAGO
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State | IL
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Zip | 60634-4403
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Country | US
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Telephone | 773-282-7000
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Fax | 773-794-7695
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Provider Business Mailing Address
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Address Line | 5645 W ADDISON ST
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City | CHICAGO
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State | IL
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Zip | 60634-4403
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Country | US
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Telephone | 773-282-7000
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Fax | 773-794-7695
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Authorized Official
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Title or Position | INTERIM CFO
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Name | JIM SYKES
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Credential |
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Telephone | 773-794-8320
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 1719
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License Number State |
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