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General NPI Number Information
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NPI Number | 1467012807
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Entity Type | Organization
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Legal Business Name | COUNCIL FOR JEWISH ELDERLY
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Dates
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Enumeration Date | 06/18/2019
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Last Update Date | 12/06/2023
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Provider Practice Location Address
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Address Line | 1601 LAKE COOK RD
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City | DEERFIELD
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State | IL
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Zip | 60015-5271
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Country | US
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Telephone | 773-508-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 3003 W TOUHY AVE
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City | CHICAGO
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State | IL
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Zip | 60645-2833
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Country | US
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Telephone | 773-508-1000
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | STACEY LEE TURNER
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Credential |
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Telephone | 773-508-1075
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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