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General NPI Number Information
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NPI Number | 1134018120
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Entity Type | Organization
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Legal Business Name | POINTE AT CRETE OPERATOR LLC
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Dates
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Enumeration Date | 07/02/2025
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 1255 E RICHTON RD
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City | CRETE
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State | IL
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Zip | 60417-1623
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Country | US
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Telephone | 708-892-2180
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Fax |
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Provider Business Mailing Address
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Address Line | 1255 E RICHTON RD
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City | CRETE
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State | IL
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Zip | 60417-1623
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MICHAEL STEIN
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Credential |
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Telephone | 773-230-7762
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311500000X
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Taxonomy Name | Alzheimer Center (Dementia Center)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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