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General NPI Number Information
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NPI Number | 1053295600
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Entity Type | Organization
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Legal Business Name | OLIVEJ4 HEALTHCARE INC
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Dates
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Enumeration Date | 08/05/2025
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 3525 W. PETERSON AVENUE SUITE T10
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City | CHICAGO
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State | IL
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Zip | 60659
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Country | US
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Telephone | 630-222-7555
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Fax | 630-333-4598
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Provider Business Mailing Address
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Address Line | 3525 W. PETERSON AVENUE SUITE T10
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City | CHICAGO
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State | IL
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Zip | 60659
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Country | US
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Telephone | 630-222-7555
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Fax | 630-333-4598
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. KIKELOMO IFEOLU OGUNDIPE
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Credential | R.N.
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Telephone | 630-222-7555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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