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General NPI Number Information
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NPI Number | 1033424056
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Entity Type | Organization
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Legal Business Name | AWESOME HOME HEALTH CARE,INC.
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Dates
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Enumeration Date | 08/13/2010
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Last Update Date | 03/06/2012
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Provider Practice Location Address
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Address Line | 10540 S WESTERN AVE SUITE 203
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City | CHICAGO
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State | IL
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Zip | 60643-2536
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Country | US
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Telephone | 773-840-3386
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Fax | 773-840-3127
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Provider Business Mailing Address
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Address Line | 10540 S WESTERN AVE SUITE 203
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City | CHICAGO
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State | IL
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Zip | 60643-2536
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Country | US
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Telephone | 773-840-3386
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Fax | 773-840-3127
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Authorized Official
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Title or Position | PRESIDENT
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Name | IKRAM ULLH
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Credential | REGISTERED P.T
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Telephone | 773-840-3386
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 1011318
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License Number State | IL
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