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General NPI Number Information
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NPI Number | 1356388219
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Entity Type | Organization
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Legal Business Name | CHICAGO HOME HEALTHCARE, S.C.
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Dates
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Enumeration Date | 06/01/2006
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Last Update Date | 07/23/2024
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Provider Practice Location Address
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Address Line | 940 W ADAMS ST STE 302
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City | CHICAGO
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State | IL
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Zip | 60607-3752
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Country | US
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Telephone | 312-421-6800
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Fax | 312-421-5366
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Provider Business Mailing Address
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Address Line | 940 W ADAMS ST STE 302
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City | CHICAGO
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State | IL
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Zip | 60607-3752
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Country | US
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Telephone | 630-450-0189
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Fax | 312-421-5366
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | RAM GAJELLA
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Credential |
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Telephone | 312-421-6800
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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 |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | IL1010429
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License Number State | IL
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