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General NPI Number Information
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NPI Number | 1205749363
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Entity Type | Individual
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Provider Name | DAISY GREENSTREET
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Gender | Female
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 2329 FAIRCHILD LN
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City | WEST CHICAGO
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State | IL
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Zip | 60185-6167
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Country | US
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Telephone | 630-859-2504
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Fax | 708-202-5443
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Provider Business Mailing Address
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Address Line | 2329 FAIRCHILD LN
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City | WEST CHICAGO
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State | IL
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Zip | 60185-6167
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Country | US
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Telephone | 630-859-2504
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Fax | 708-202-5443
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 043080691
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License Number State | IL
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