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General NPI Number Information
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NPI Number | 1134445935
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Entity Type | Organization
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Legal Business Name | HOMELINK HEALTHCARE, LTD
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Dates
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Enumeration Date | 04/19/2010
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Last Update Date | 04/19/2010
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Provider Practice Location Address
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Address Line | 4747 W PETERSON AVE STE 307
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City | CHICAGO
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State | IL
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Zip | 60646-5712
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Country | US
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Telephone | 773-930-3076
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Fax | 773-930-3096
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Provider Business Mailing Address
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Address Line | 4747 W PETERSON AVE STE 307
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City | CHICAGO
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State | IL
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Zip | 60646-5712
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Country | US
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Telephone | 773-930-3076
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Fax | 773-930-3096
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Authorized Official
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Title or Position | PRESEIDENT
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Name | ADELBERT MONTESCLAROS
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Credential | RPT
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Telephone | 312-315-9755
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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 | 1010921 UNDER REVIEW
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License Number State | IL
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