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General NPI Number Information
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NPI Number | 1205367638
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Entity Type | Organization
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Legal Business Name | ER HOMECARE & EMPLOYMENT SERVICES, INC.
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Dates
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Enumeration Date | 03/27/2017
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Last Update Date | 03/27/2017
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Provider Practice Location Address
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Address Line | 6223 N MILWAUKEE AVE
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City | CHICAGO
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State | IL
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Zip | 60646-3730
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Country | US
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Telephone | 773-481-9300
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Fax | 773-481-0357
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Provider Business Mailing Address
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Address Line | 6223 N MILWAUKEE AVE
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City | CHICAGO
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State | IL
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Zip | 60646-3730
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Country | US
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Telephone | 773-481-9300
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Fax | 773-481-0357
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Authorized Official
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Title or Position | PRESIDENT
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Name | ELBERT REGACHO
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Credential |
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Telephone | 773-481-9300
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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 | 3000464
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License Number State | IL
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