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General NPI Number Information
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NPI Number | 1255576393
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Entity Type | Organization
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Legal Business Name | CHICAGOLAND EARLY INTERVENTION LTD
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Dates
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Enumeration Date | 12/03/2008
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Last Update Date | 12/03/2008
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Provider Practice Location Address
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Address Line | 6006 159TH ST BLDG B
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City | OAK FOREST
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State | IL
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Zip | 60452-2904
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Country | US
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Telephone | 708-535-0933
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Fax | 708-614-9435
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Provider Business Mailing Address
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Address Line | 6006 159TH ST BLDG B
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City | OAK FOREST
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State | IL
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Zip | 60452-2904
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Country | US
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Telephone | 708-535-0933
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Fax | 708-614-9435
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MRS. SADHNA NAVNI
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Credential | OTR/L
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Telephone | 708-535-0933
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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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 | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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