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General NPI Number Information
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NPI Number | 1114035391
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Entity Type | Organization
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Legal Business Name | WECARE FAMILY CLINIC LTD
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Dates
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Enumeration Date | 08/28/2006
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Last Update Date | 09/18/2014
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Provider Practice Location Address
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Address Line | 800 BIESTERFIELD RD WIMMER SUITE 204
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City | ELK GROVE VILLAGE
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State | IL
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Zip | 60007-3361
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Country | US
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Telephone | 630-435-8819
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Fax | 630-348-6248
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Provider Business Mailing Address
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Address Line | 1181 CARBERRY CIR
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City | INVERNESS
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State | IL
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Zip | 60067-4289
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Country | US
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Telephone | 630-453-8819
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Fax | 630-348-6248
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOANNA POZDAL
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Credential |
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Telephone | 630-453-8818
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 042-618891
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License Number State | IL
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