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General NPI Number Information
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NPI Number | 1093959652
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Entity Type | Organization
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Legal Business Name | MIDWEST THERAPY NETWORK LLC
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Dates
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Enumeration Date | 04/27/2009
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Last Update Date | 04/27/2009
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Provider Practice Location Address
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Address Line | 855 E GOLF RD STE. 2133
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60005-5222
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Country | US
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Telephone | 630-607-2038
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Fax | 847-290-9133
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Provider Business Mailing Address
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Address Line | 855 E GOLF RD STE. 2133
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60005-5222
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Country | US
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Telephone | 630-607-2038
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Fax | 847-290-9133
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Authorized Official
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Title or Position | PRESIDENT
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Name | CESAR JAVIER
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Credential |
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Telephone | 630-607-2038
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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 |
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License Number State |
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