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General NPI Number Information
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NPI Number | 1093751802
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Entity Type | Organization
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Legal Business Name | QUALITY HEALTH UNLIMITED,P.C.
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Dates
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Enumeration Date | 06/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1347 COVENTRY LN
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City | NORTHBROOK
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State | IL
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Zip | 60062-4338
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Country | US
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Telephone | 847-833-4560
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Fax | 847-715-0964
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Provider Business Mailing Address
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Address Line | 1347 COVENTRY LN
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City | NORTHBROOK
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State | IL
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Zip | 60062-4338
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Country | US
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Telephone | 847-833-4560
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Fax | 847-715-0964
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Authorized Official
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Title or Position | OWNER
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Name | MRS. NANCY WILENS
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Credential | APRN/CNP
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Telephone | 847-833-4560
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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