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General NPI Number Information
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NPI Number | 1295431005
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Entity Type | Organization
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Legal Business Name | MEDICUS HOME HEALTH LLC
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Dates
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Enumeration Date | 02/02/2023
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Last Update Date | 02/02/2023
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Provider Practice Location Address
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Address Line | 9933 LAWLER AVE STE 338A
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City | SKOKIE
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State | IL
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Zip | 60077-3773
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Country | US
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Telephone | 312-320-3618
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Fax |
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Provider Business Mailing Address
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Address Line | 7847 CHURCH ST
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City | MORTON GROVE
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State | IL
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Zip | 60053-1627
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Country | US
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Telephone | 312-320-3618
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER
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Name | ERLICH SICAD
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Credential |
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Telephone | 312-320-3618
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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