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General NPI Number Information
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NPI Number | 1245113786
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Entity Type | Organization
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Legal Business Name | REASSURE HEALTH PLLC
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Dates
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Enumeration Date | 07/30/2025
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 25111 W WARREN AVE
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City | LAKE VILLA
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State | IL
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Zip | 60046-9741
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Country | US
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Telephone | 224-844-3763
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Fax |
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Provider Business Mailing Address
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Address Line | 25111 W WARREN AVE
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City | LAKE VILLA
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State | IL
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Zip | 60046-9741
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Country | US
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Telephone | 224-844-3763
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ONYEISI STEPHEN OGBOMEH
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Credential | DNP, APRN-FPA,FNP-BC
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Telephone | 773-791-2317
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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