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General NPI Number Information
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NPI Number | 1124266077
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Entity Type | Organization
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Legal Business Name | ADMIRAL HOME HEALTH INC.
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Dates
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Enumeration Date | 01/30/2009
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Last Update Date | 01/15/2010
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Provider Practice Location Address
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Address Line | 3445 N. CENTRAL AVE.
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City | CHICAGO
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State | IL
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Zip | 60645-3045
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Country | US
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Telephone | 773-283-3838
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Fax | 847-566-2709
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Provider Business Mailing Address
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Address Line | 3445 N. CENTRAL AVE.
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City | CHICAGO
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State | IL
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Zip | 60634-3045
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Country | US
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Telephone | 773-283-3838
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Fax | 847-566-2709
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | SUSAN C NORBERTE
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Credential | RN
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Telephone | 224-656-4458
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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 | 1010623
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License Number State | IL
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