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General NPI Number Information
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NPI Number | 1477839397
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Entity Type | Organization
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Legal Business Name | V CARE HOSPICE SERVICES OF ILLINOIS, INC.
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Dates
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Enumeration Date | 10/24/2011
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Last Update Date | 02/26/2016
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Provider Practice Location Address
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Address Line | 3100 DUNDEE RD SUITE 303
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City | NORTHBROOK
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State | IL
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Zip | 60062-2459
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Country | US
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Telephone | 847-272-5883
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Fax | 847-272-5884
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Provider Business Mailing Address
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Address Line | 3100 DUNDEE RD SUITE 303
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City | NORTHBROOK
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State | IL
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Zip | 60062-2437
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Country | US
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Telephone | 847-272-5883
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Fax | 847-272-5884
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DANIEL WATERS
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Credential | RN
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Telephone | 847-272-5883
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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