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General NPI Number Information
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NPI Number | 1215504881
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Entity Type | Organization
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Legal Business Name | COMPLETE HEALTH SERVICES INC
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Dates
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Enumeration Date | 06/10/2021
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Last Update Date | 01/29/2023
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Provider Practice Location Address
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Address Line | 402 W BOUGHTON RD STE A
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City | BOLINGBROOK
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State | IL
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Zip | 60440-1998
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Country | US
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Telephone | 630-300-0446
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Fax | 630-300-0446
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Provider Business Mailing Address
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Address Line | 402 W BOUGHTON RD STE A
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City | BOLINGBROOK
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State | IL
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Zip | 60440-1998
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Country | US
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Telephone | 630-300-0446
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | ISOKEN FRANCA OGBOMO
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Credential | FNP
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Telephone | 312-451-6418
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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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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