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General NPI Number Information
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NPI Number | 1154768034
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Entity Type | Organization
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Legal Business Name | ADVANCED CARE SERVICES, INC
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Dates
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Enumeration Date | 05/31/2013
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Last Update Date | 05/31/2013
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Provider Practice Location Address
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Address Line | 77 W WASHINGTON ST SUITE 1425
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City | CHICAGO
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State | IL
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Zip | 60602-2801
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Country | US
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Telephone | 312-220-9777
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Fax |
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Provider Business Mailing Address
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Address Line | 77 W WASHINGTON ST SUITE 1425
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City | CHICAGO
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State | IL
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Zip | 60602-2801
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Country | US
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Telephone | 312-220-9777
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. SHEILA MCNARY
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Credential | R.N.
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Telephone | 312-220-9777
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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 | 1011603
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License Number State | IL
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