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General NPI Number Information
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NPI Number | 1447667555
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Entity Type | Organization
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Legal Business Name | NORTHWEST HOME CARE, INC.
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Dates
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Enumeration Date | 07/21/2014
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 868 N MILWAUKEE AVE
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City | CHICAGO
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State | IL
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Zip | 60642-4103
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Country | US
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Telephone | 312-724-6655
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Fax | 312-674-7504
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Provider Business Mailing Address
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Address Line | 868 N MILWAUKEE AVE CHICAGO
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City | CHICAGO
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State | IL
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Zip | 60642-4103
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Country | US
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Telephone | 312-724-6655
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Fax | 312-674-7504
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Authorized Official
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Title or Position | CFO
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Name | IGOR KULBACHNY
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Credential |
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Telephone | 847-670-8268
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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 | 1011043
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License Number State | IL
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