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General NPI Number Information
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NPI Number | 1427599869
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Entity Type | Organization
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Legal Business Name | GYC SENIOR CARE HOMES INC.
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Dates
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Enumeration Date | 03/18/2017
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Last Update Date | 03/18/2017
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Provider Practice Location Address
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Address Line | 9632 LARAMIE AVE
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City | SKOKIE
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State | IL
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Zip | 60077-1262
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Country | US
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Telephone | 312-363-7723
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Fax | 847-972-0063
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Provider Business Mailing Address
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Address Line | 5862 N LINCOLN AVE C2 SUITE 4
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City | CHICAGO
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State | IL
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Zip | 60659-4625
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Country | US
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Telephone | 847-410-2126
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Fax | 847-972-0063
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Authorized Official
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Title or Position | OWNER
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Name | MR. YASSINE CHEKKOURI
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Credential |
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Telephone | 312-363-7723
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 3001129
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License Number State | IL
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