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General NPI Number Information
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NPI Number | 1104127927
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Entity Type | Organization
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Legal Business Name | IMMACULATE HOME HEALTH, INC.
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Dates
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Enumeration Date | 11/10/2010
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 8340 LINCOLN AVE SUITE 212
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City | SKOKIE
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State | IL
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Zip | 60077-2436
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Country | US
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Telephone | 773-283-2013
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Fax | 773-283-2069
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Provider Business Mailing Address
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Address Line | 8340 LINCOLN AVE SUITE 212
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City | SKOKIE
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State | IL
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Zip | 60077-2436
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Country | US
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Telephone | 773-283-2013
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Fax | 773-283-2069
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MARIA CONSTANTINO
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Credential |
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Telephone | 773-283-2013
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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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