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General NPI Number Information
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NPI Number | 1134357932
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Entity Type | Organization
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Legal Business Name | ILLINOIS PROFESSIONAL HOME HEALTH, INC.
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Dates
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Enumeration Date | 06/30/2009
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Last Update Date | 10/26/2009
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Provider Practice Location Address
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Address Line | 5550 W. TOUHY AVE SUITE 301
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City | SKOKIE
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State | IL
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Zip | 60077-3254
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Country | US
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Telephone | 847-933-9855
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Fax | 847-933-9856
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Provider Business Mailing Address
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Address Line | 5550 W. TOUHY AVE. SUITE 301
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City | SKOKIE
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State | IL
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Zip | 60077-3254
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Country | US
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Telephone | 847-933-9855
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Fax | 847-933-9856
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | SALLY HUNTER
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Credential |
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Telephone | 847-933-9855
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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 | 1011086
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License Number State | IL
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