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General NPI Number Information
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NPI Number | 1366628307
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Entity Type | Organization
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Legal Business Name | ACHIEVE HEALTH CARE SERVICES, INC.
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Dates
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Enumeration Date | 01/19/2008
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Last Update Date | 05/16/2017
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Provider Practice Location Address
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Address Line | 5700 NORTH LINCOLN AVENUE SUITE 220
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City | CHICAGO
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State | IL
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Zip | 60659-4731
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Country | US
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Telephone | 773-728-2800
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Fax | 773-728-2882
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Provider Business Mailing Address
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Address Line | 5700 NORTH LINCOLN AVENUE SUITE 220
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City | CHICAGO
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State | IL
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Zip | 60659-4731
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Country | US
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Telephone | 773-728-2800
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Fax | 773-728-2882
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. LIMUEL SAGADRACA
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Credential |
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Telephone | 773-728-2800
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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 | 1010722
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License Number State | IL
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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 |
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License Number State |
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