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General NPI Number Information
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NPI Number | 1316275779
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Entity Type | Organization
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Legal Business Name | COMMUNITY HEALTH SERVICES LLC
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Dates
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Enumeration Date | 11/24/2009
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Last Update Date | 02/22/2022
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Provider Practice Location Address
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Address Line | 17843 TORRENCE AVE SUITE 2R
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City | LANSING
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State | IL
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Zip | 60438-1835
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Country | US
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Telephone | 708-983-5137
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Fax | 708-394-0241
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Provider Business Mailing Address
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Address Line | 17843 TORRENCE AVE SUITE 2R
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City | LANSING
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State | IL
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Zip | 60438-1835
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Country | US
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Telephone | 708-983-5137
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Fax | 708-394-0241
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Authorized Official
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Title or Position | MEMBER
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Name | MR. ADEOLU ADEOYE
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Credential |
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Telephone | 312-608-4951
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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 | IL
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