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General NPI Number Information
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NPI Number | 1316382336
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Entity Type | Organization
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Legal Business Name | CHC SLEEP SOLUTIONS LLC
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Dates
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Enumeration Date | 05/03/2013
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Last Update Date | 05/03/2013
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Provider Practice Location Address
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Address Line | 5440 N CUMBERLAND AVE SUITE 225
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City | CHICAGO
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State | IL
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Zip | 60656-1490
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Country | US
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Telephone | 847-380-1166
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Fax | 847-572-1699
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Provider Business Mailing Address
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Address Line | 5440 N CUMBERLAND AVE SUITE 225
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City | CHICAGO
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State | IL
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Zip | 60656-1490
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Country | US
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Telephone | 847-380-1166
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Fax | 847-572-1699
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. MELISSA C MOORE
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Credential |
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Telephone | 312-720-9632
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number |
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License Number State |
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