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General NPI Number Information
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NPI Number | 1174452528
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Entity Type | Organization
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Legal Business Name | TBD FITNESS
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Dates
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Enumeration Date | 05/13/2026
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Last Update Date | 05/13/2026
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Provider Practice Location Address
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Address Line | 832 E HIGGINS RD
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City | ELK GROVE VILLAGE
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State | IL
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Zip | 60007-1551
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Country | US
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Telephone | 224-366-7655
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Fax |
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Provider Business Mailing Address
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Address Line | 832 E HIGGINS RD
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City | ELK GROVE VILLAGE
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State | IL
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Zip | 60007-1551
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Country | US
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Telephone | 224-366-7655
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | DANIEL CHILLE
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Credential |
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Telephone | 331-702-1233
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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