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General NPI Number Information
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NPI Number | 1447318191
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Entity Type | Organization
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Legal Business Name | ADVANCED HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 08/18/2009
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Provider Practice Location Address
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Address Line | 680 N LAKE SHORE DR # 1210
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City | CHICAGO
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State | IL
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Zip | 60611-4546
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Country | US
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Telephone | 312-587-0926
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Fax | 708-364-9607
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Provider Business Mailing Address
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Address Line | 10646 165TH ST.
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City | ORLAND PARK
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State | IL
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Zip | 60467-5653
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Country | US
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Telephone | 708-364-9606
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Fax | 708-364-9607
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Authorized Official
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Title or Position | ADMINISTRATIVE DIRECTOR
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Name | MRS. CHERYL MICHALOW
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Credential | RRT, RPSGT
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Telephone | 708-372-3154
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | 203000585
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License Number State | IL
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