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General NPI Number Information
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NPI Number | 1316778756
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Entity Type | Organization
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Legal Business Name | HEALTHONE MEDICAL CENTER INC
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Dates
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Enumeration Date | 08/08/2024
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 398 W ARMY TRAIL RD STE 118
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City | BLOOMINGDALE
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State | IL
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Zip | 60108-2398
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Country | US
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Telephone | 630-380-3100
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Fax | 630-380-3099
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Provider Business Mailing Address
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Address Line | 398 W ARMY TRAIL RD STE 118
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City | BLOOMINGDALE
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State | IL
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Zip | 60108-2398
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Country | US
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Telephone | 630-380-3100
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Fax | 630-380-3099
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Authorized Official
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Title or Position | OWNER
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Name | SANJANA THAKKAR
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Credential | NP
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Telephone | 630-380-3100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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