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General NPI Number Information
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NPI Number | 1245375971
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Entity Type | Organization
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Legal Business Name | DIRECTCARE HOME HEALTH INC
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 02/08/2011
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Provider Practice Location Address
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Address Line | 9555 S COMMERCIAL AVE SUITE #1F
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City | CHICAGO
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State | IL
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Zip | 60617-5051
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Country | US
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Telephone | 773-721-2900
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Fax | 773-721-7729
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Provider Business Mailing Address
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Address Line | PO BOX 66
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City | OLYMPIA FIELDS
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State | IL
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Zip | 60461-0066
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Country | US
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Telephone | 773-721-2900
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Fax | 773-721-7729
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Authorized Official
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Title or Position | DIRECTOR OF NURSING
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Name | MRS. LAURA OZOIGBO
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Credential | RN BSN
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Telephone | 773-721-2900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 1011301
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 01010153
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License Number State | IL
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