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General NPI Number Information
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NPI Number | 1215012240
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Entity Type | Organization
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Legal Business Name | WILL STAFF, INC.
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 07/04/2008
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Provider Practice Location Address
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Address Line | 135 E ALGONQUIN RD SUITE #2 B
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60005-5321
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Country | US
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Telephone | 224-265-6591
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Fax | 224-265-6596
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Provider Business Mailing Address
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Address Line | 135 E ALGONQUIN RD SUITE #2 B
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60005-5321
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Country | US
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Telephone | 224-265-6591
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Fax | 224-265-6596
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. SAKINA S KISAT
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Credential | P.E.
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Telephone | 847-791-3333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 1010197
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License Number State | IL
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