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General NPI Number Information
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NPI Number | 1174325963
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Entity Type | Organization
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Legal Business Name | AMOR HOMECARE OF ILLINOIS INC
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Dates
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Enumeration Date | 03/25/2025
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 205 N MICHIGAN AVE STE 810
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City | CHICAGO
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State | IL
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Zip | 60601-5902
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Country | US
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Telephone | 917-226-0509
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Fax | 215-798-9669
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Provider Business Mailing Address
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Address Line | 11027 106TH ST
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City | OZONE PARK
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State | NY
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Zip | 11417-2614
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Country | US
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Telephone | 917-226-0509
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | AGUSTIN PRADO
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Credential |
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Telephone | 917-226-0509
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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