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General NPI Number Information
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NPI Number | 1144718644
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Entity Type | Organization
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Legal Business Name | NAPERVILLE HEALTH CENTER, LLC
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Dates
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Enumeration Date | 04/30/2018
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 3416 S ROUTE 59 STE 108
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City | NAPERVILLE
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State | IL
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Zip | 60564-8147
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Country | US
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Telephone | 480-306-7227
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Fax |
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Provider Business Mailing Address
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Address Line | 4432 N MILLER RD STE 102
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-3697
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Country | US
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Telephone | 480-306-7227
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Fax | 480-306-7238
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Authorized Official
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Title or Position | CREDENTIALING OFFICER
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Name | CASSIDY GADDIS
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Credential |
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Telephone | 480-306-7227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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