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General NPI Number Information
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NPI Number | 1225109564
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Entity Type | Organization
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Legal Business Name | MONROE CORP
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Dates
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Enumeration Date | 11/10/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1400 W MONROE ST
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City | CHICAGO
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State | IL
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Zip | 60607-2512
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Country | US
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Telephone | 312-666-4090
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Fax | 312-421-0134
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Provider Business Mailing Address
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Address Line | 7257 N LINCOLN AVE
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City | LINCOLNWOOD
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State | IL
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Zip | 60712-1810
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Country | US
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Telephone | 847-933-2600
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Fax | 847-933-0686
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Authorized Official
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Title or Position | MEDICARE MANAGER
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Name | JOYCE RUDD
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Credential |
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Telephone | 847-933-2600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number |
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License Number State | IL
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