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General NPI Number Information
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NPI Number | 1194808402
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Entity Type | Organization
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Legal Business Name | FOUR SEASONS HOME HEALTHCARE, INC.
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 6050 OAKTON ST
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City | MORTON GROVE
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State | IL
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Zip | 60053-2717
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Country | US
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Telephone | 847-966-1616
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Fax |
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Provider Business Mailing Address
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Address Line | 6050 OAKTON ST
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City | MORTON GROVE
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State | IL
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Zip | 60053-2717
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Country | US
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Telephone | 847-966-1616
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Fax | 847-966-1689
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. PHILLIP SHLIMON
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Credential |
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Telephone | 847-966-1616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 041335023
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License Number State | IL
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