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General NPI Number Information
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NPI Number | 1437391695
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Entity Type | Organization
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Legal Business Name | ILLINOIS HEALTHCARE SERVICES, LLC.
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Dates
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Enumeration Date | 04/01/2009
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Last Update Date | 02/21/2018
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Provider Practice Location Address
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Address Line | 8430 GROSS POINT RD STE 202
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City | SKOKIE
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State | IL
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Zip | 60077-2000
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Country | US
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Telephone | 847-966-9962
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Fax | 847-966-9906
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Provider Business Mailing Address
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Address Line | 8430 GROSS POINT RD STE 202
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City | SKOKIE
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State | IL
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Zip | 60077-2000
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Country | US
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Telephone | 847-966-9962
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Fax | 847-966-9906
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. MARIA N. VERCELES
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Credential |
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Telephone | 847-966-9962
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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 |
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License Number State |
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