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General NPI Number Information
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NPI Number | 1467303941
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Entity Type | Organization
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Legal Business Name | LDE CONCIERGE SOLUTIONS LLC
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Dates
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Enumeration Date | 02/09/2026
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 6139 S WASHTENAW AVE
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City | CHICAGO
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State | IL
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Zip | 60629-1635
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Country | US
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Telephone | 312-806-8702
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Fax |
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Provider Business Mailing Address
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Address Line | 10735 S WESTERN AVE STE 6249
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City | CHICAGO
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State | IL
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Zip | 60643-3155
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Country | US
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Telephone | 312-806-8702
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | LUCHERIA C GREEN
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Credential | CPT
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Telephone | 312-807-8702
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246RP1900X
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Taxonomy Name | Phlebotomy Technician
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License Number |
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License Number State |
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