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General NPI Number Information
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NPI Number | 1407731631
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Entity Type | Organization
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Legal Business Name | VILLAGE OF EAST HAZEL CREST
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Dates
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Enumeration Date | 08/07/2025
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 17223 THROOP ST
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City | EAST HAZEL CREST
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State | IL
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Zip | 60429-1949
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Country | US
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Telephone | 708-798-3902
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Fax | 708-206-0148
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Provider Business Mailing Address
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Address Line | 1904 174TH ST
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City | EAST HAZEL CREST
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State | IL
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Zip | 60429-1442
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Country | US
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Telephone | 708-798-3902
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Fax | 708-206-0148
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Authorized Official
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Title or Position | VILLAGE PRESIDENT
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Name | THOMAS A BROWN
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Credential |
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Telephone | 708-798-0213
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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