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General NPI Number Information
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NPI Number | 1346944956
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Entity Type | Organization
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Legal Business Name | MIDWEST ASSOC FOR COMMERCIAL & INDUSTRIAL DEVELOPMENT
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Dates
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Enumeration Date | 03/28/2023
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Last Update Date | 07/17/2024
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Provider Practice Location Address
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Address Line | 1440 W NORTH AVE STE 402
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City | MELROSE PARK
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State | IL
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Zip | 60160-1425
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Country | US
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Telephone | 708-547-1717
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Fax |
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Provider Business Mailing Address
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Address Line | 1440 W NORTH AVE STE 402
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City | MELROSE PARK
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State | IL
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Zip | 60160-1425
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Country | US
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Telephone | 708-547-1717
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Fax |
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Authorized Official
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Title or Position | BOOKKEEPER
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Name | TRACEY HALE
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Credential |
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Telephone | 630-453-8857
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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