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General NPI Number Information
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NPI Number | 1316499023
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Entity Type | Organization
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Legal Business Name | ECHRYSALIS, INC.
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Dates
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Enumeration Date | 10/28/2016
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Last Update Date | 04/06/2022
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Provider Practice Location Address
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Address Line | 600 S WASHINGTON ST STE 304
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City | NAPERVILLE
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State | IL
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Zip | 60540-6667
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Country | US
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Telephone | 331-212-5318
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Fax | 331-301-5170
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Provider Business Mailing Address
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Address Line | 75 EXECUTIVE DRIVE SUITE 301
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City | AURORA
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State | IL
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Zip | 60504
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Country | US
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Telephone | 331-457-2399
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Fax | 331-301-5170
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Authorized Official
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Title or Position | PRESIDENT
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Name | RICHARD EUGENE WILCOX
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Credential |
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Telephone | 331-457-2399
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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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