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General NPI Number Information
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NPI Number | 1225853161
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Entity Type | Organization
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Legal Business Name | HIGHLIGHT HC OF ROCHELLE, LLC
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Dates
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Enumeration Date | 11/16/2024
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 1021 N CARON RD
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City | ROCHELLE
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State | IL
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Zip | 61068-9647
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Country | US
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Telephone | 815-562-4047
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Fax | 815-562-8017
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Provider Business Mailing Address
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Address Line | 2711 W HOWARD ST
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City | CHICAGO
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State | IL
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Zip | 60645-1303
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | YOSEF TSADOK
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Credential |
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Telephone | 815-562-4047
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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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 | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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