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General NPI Number Information
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NPI Number | 1508712365
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Entity Type | Organization
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Legal Business Name | THRYVE OF SOUTH HOLLAND LLC
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Dates
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Enumeration Date | 03/05/2026
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Last Update Date | 03/05/2026
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Provider Practice Location Address
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Address Line | 2145 E 170TH ST
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City | SOUTH HOLLAND
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State | IL
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Zip | 60473-3788
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Country | US
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Telephone | 708-895-3255
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Fax |
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Provider Business Mailing Address
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Address Line | 8140 MCCORMICK BLVD STE 138
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City | SKOKIE
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State | IL
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Zip | 60076-2920
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEDICARE AUTHORIZED OFFICIAL
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Name | EFRIAM WEINFELD
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Credential |
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Telephone | 224-536-4202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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