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General NPI Number Information
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NPI Number | 1083167449
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Entity Type | Organization
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Legal Business Name | SENIOR SERVICES CENTER OF WILL COUNTY
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Dates
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Enumeration Date | 08/02/2016
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Last Update Date | 08/02/2016
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Provider Practice Location Address
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Address Line | 251 N CENTER ST
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City | JOLIET
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State | IL
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Zip | 60435-7144
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Country | US
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Telephone | 815-723-9713
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Fax | 815-740-4218
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Provider Business Mailing Address
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Address Line | 251 N CENTER ST
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City | JOLIET
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State | IL
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Zip | 60435-7144
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Country | US
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Telephone | 815-723-9713
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Fax | 815-740-4218
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. BARRY KOLANOWSKI
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Credential |
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Telephone | 815-740-4220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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