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General NPI Number Information
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NPI Number | 1134213804
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Entity Type | Organization
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Legal Business Name | ATTENTIVE SERVICES HOME HEALTH II, INC
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 10/27/2009
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Provider Practice Location Address
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Address Line | 714 E PERSHING RD
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City | CHICAGO
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State | IL
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Zip | 60653-1920
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Country | US
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Telephone | 773-548-3863
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Fax | 773-548-3864
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Provider Business Mailing Address
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Address Line | 3976 SO. ELLIS AVE 2-S
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City | CHICAGO
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State | IL
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Zip | 60653
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Country | US
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Telephone | 773-548-3863
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Fax | 773-548-3864
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Authorized Official
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Title or Position | ADMINISTRATOR/CEO
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Name | LUCIL M MCCORMICK
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Credential |
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Telephone | 773-548-3863
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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 | 1010488
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License Number State | IL
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