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NPI 1336800630

NPI 1336800630 : PRECISE HEALTHCARE SOLUTIONS LLC : FLOSSMOOR, IL

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General NPI Number Information
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    NPI Number           |    1336800630
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    Entity Type          |    Organization 
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    Legal Business Name  |    PRECISE HEALTHCARE SOLUTIONS LLC 
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Dates
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    Enumeration Date     |    01/07/2022
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    Last Update Date     |    01/18/2022
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Provider Practice Location Address
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    Address Line         |    3235 VOLLMER RD STE 104 
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    City                 |    FLOSSMOOR
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    State                |    IL
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    Zip                  |    60422-2069
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    Country              |    US
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    Telephone            |    708-631-3917
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3200 BROOKSIDE BLVD 
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    City                 |    OLYMPIA FIELDS
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    State                |    IL
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    Zip                  |    60461-1863
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    Country              |    US
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    Telephone            |    708-833-9014
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     KRISTI  HUGHES 
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    Credential           |    DNP, FNP-BC
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    Telephone            |    708-833-9014
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    291U00000X
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    Taxonomy Name        |    Clinical Medical Laboratory
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    261QH0100X
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    Taxonomy Name        |    Health Service Clinic/Center
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    License Number       |    
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    License Number State |    
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