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General NPI Number Information
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NPI Number | 1154532315
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Entity Type | Organization
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Legal Business Name | DMJ HOME HEALTH SERVICES, INC
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Dates
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Enumeration Date | 05/26/2007
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Last Update Date | 04/29/2022
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Provider Practice Location Address
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Address Line | 2720 E. NEW YORK ST. SUITE 120
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City | AURORA
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State | IL
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Zip | 60502
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Country | US
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Telephone | 847-423-2667
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Fax | 866-253-2315
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Provider Business Mailing Address
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Address Line | 2720 E. NEW YORK ST. SUITE 120
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City | AURORA
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State | IL
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Zip | 60502
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Country | US
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Telephone | 847-423-2667
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Fax | 866-253-2315
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | HEATHER WALLACE
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Credential |
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Telephone | 847-423-2667
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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 | 1010732
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License Number State | IL
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