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NPI 1366316325

NPI 1366316325 : EPIC HEALTH L.L.C. DBA EPIC HEALTH : BUFFALO GROVE, IL

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General NPI Number Information
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    NPI Number           |    1366316325
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    Entity Type          |    Organization 
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    Legal Business Name  |    EPIC HEALTH L.L.C. DBA EPIC HEALTH 
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Dates
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    Enumeration Date     |    10/02/2025
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    Last Update Date     |    10/02/2025
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Provider Practice Location Address
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    Address Line         |    1450 BUSCH PKWY STE 100 
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    City                 |    BUFFALO GROVE
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    State                |    IL
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    Zip                  |    60089-4541
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    Country              |    US
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    Telephone            |    850-339-7746
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    655 LONGTREE DR 
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    City                 |    WHEELING
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    State                |    IL
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    Zip                  |    60090-5546
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    Country              |    US
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    Telephone            |    850-339-7746
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    Fax                  |    
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |    MRS. VICTORINE EDINAM BERRY-GBEKOU 
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    Credential           |    NP
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    Telephone            |    850-339-7746
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3747P1801X
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    Taxonomy Name        |    Personal Care Attendant
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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        |    374U00000X
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    Taxonomy Name        |    Home Health Aide
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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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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