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General NPI Number Information
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NPI Number | 1386795904
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Entity Type | Organization
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Legal Business Name | SHAY HEALTH CARE SERVICES, INC
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5730 159TH ST
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City | OAK FOREST
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State | IL
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Zip | 60452-3163
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Country | US
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Telephone | 708-535-4300
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Fax | 708-535-7519
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Provider Business Mailing Address
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Address Line | 5730 159TH ST
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City | OAK FOREST
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State | IL
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Zip | 60452-3163
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Country | US
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Telephone | 708-535-4300
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Fax | 708-535-7519
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. TERRY E LALLKY
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Credential | BSRN
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Telephone | 708-535-4300
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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 | 1001064
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License Number State | IL
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