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General NPI Number Information
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NPI Number | 1134944754
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Entity Type | Organization
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Legal Business Name | 1103 HEALTH PARTNERS, LLC
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Dates
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Enumeration Date | 11/19/2024
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 1585 N MILWAUKEE AVE STE 105
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City | LIBERTYVILLE
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State | IL
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Zip | 60048-1359
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Country | US
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Telephone | 847-433-5650
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Fax |
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Provider Business Mailing Address
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Address Line | 1585 N MILWAUKEE AVE STE 105
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City | LIBERTYVILLE
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State | IL
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Zip | 60048-1359
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Country | US
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Telephone | 847-433-5650
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | STEVEN JAMES ALESSANDRO
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Credential | PSYD
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Telephone | 847-457-1808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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