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General NPI Number Information
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NPI Number | 1184501678
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Entity Type | Organization
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Legal Business Name | DESI HOME CARE LLC
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Dates
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Enumeration Date | 08/18/2025
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 2092 W LUNT AVE
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City | CHICAGO
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State | IL
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Zip | 60645-3567
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Country | US
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Telephone | 224-722-9190
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Fax |
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Provider Business Mailing Address
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Address Line | 9366 HAMLIN AVE
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City | DES PLAINES
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State | IL
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Zip | 60016-4240
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Country | US
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Telephone | 224-722-9190
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MEHREEN BOBY
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Credential |
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Telephone | 224-722-9190
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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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