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General NPI Number Information
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NPI Number | 1467875880
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Entity Type | Organization
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Legal Business Name | CS&L HEALTHCARE, LLC
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Dates
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Enumeration Date | 01/22/2014
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Last Update Date | 01/23/2024
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Provider Practice Location Address
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Address Line | 1580 S MILWAUKEE AVE SUITE 201
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City | LIBERTYVILLE
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State | IL
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Zip | 60048-3764
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Country | US
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Telephone | 224-880-6555
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Fax | 224-338-2988
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Provider Business Mailing Address
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Address Line | 1580 S MILWAUKEE AVE SUITE 201
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City | LIBERTYVILLE
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State | IL
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Zip | 60048-3764
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Country | US
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Telephone | 224-880-6555
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Fax | 224-338-2988
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MRS. STEPHANIE G. JOHNSON
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Credential | RN, BS
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Telephone | 224-880-6555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 3000993
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License Number State | IL
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