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General NPI Number Information
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NPI Number | 1487468377
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Entity Type | Organization
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Legal Business Name | ILLINOIS HOME HEALTH PROVIDER LLC
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Dates
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Enumeration Date | 02/03/2025
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 2060 E ALGONQUIN RD STE 510
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City | SCHAUMBURG
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State | IL
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Zip | 60173-4186
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Country | US
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Telephone | 847-648-7088
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Fax | 630-556-1782
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Provider Business Mailing Address
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Address Line | 2060 E ALGONQUIN RD STE 510
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City | SCHAUMBURG
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State | IL
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Zip | 60173-4186
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Country | US
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Telephone | 847-648-7088
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Fax | 630-556-1782
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Authorized Official
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Title or Position | PRESIDENT
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Name | KAMRAN ANIS
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Credential | ADMINISTRATOR
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Telephone | 630-660-8930
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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 |
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License Number State |
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