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General NPI Number Information
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NPI Number | 1336198480
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Entity Type | Organization
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Legal Business Name | ADVANCED HOME HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 05/08/2006
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Last Update Date | 07/01/2024
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Provider Practice Location Address
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Address Line | 3000 DUNDEE RD STE 109
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City | NORTHBROOK
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State | IL
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Zip | 60062-2424
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Country | US
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Telephone | 847-338-3439
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Fax | 847-803-6995
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Provider Business Mailing Address
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Address Line | 3000 DUNDEE RD STE 109
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City | NORTHBROOK
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State | IL
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Zip | 60062-2424
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Country | US
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Telephone | 847-338-3439
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Fax | 847-803-6995
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Authorized Official
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Title or Position | ADMINISTRATOR/DON
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Name | MR. MICHAEL KURTZER
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Credential | RN, BS
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Telephone | 847-338-3439
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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 | 1010367
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License Number State | IL
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