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General NPI Number Information
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NPI Number | 1114780608
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Entity Type | Organization
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Legal Business Name | CARE LYNN HEALTH & WELLNESS CLINIC PLLC
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Dates
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Enumeration Date | 02/06/2024
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Last Update Date | 09/07/2025
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Provider Practice Location Address
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Address Line | 332 S MICHIGAN AVE STE 112
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City | CHICAGO
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State | IL
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Zip | 60604-4434
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Country | US
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Telephone | 312-574-0867
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Fax |
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Provider Business Mailing Address
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Address Line | 332 S MICHIGAN AVE STE 112
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City | CHICAGO
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State | IL
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Zip | 60604-4434
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Country | US
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Telephone | 708-874-0393
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Fax |
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Authorized Official
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Title or Position | CEO/FNP
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Name | ASANTEWAH DANIELS ADAMS
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Credential | APRN
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Telephone | 708-874-0393
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LC1500X
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Taxonomy Name | Community Health Nurse Practitioner
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License Number |
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License Number State |
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