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General NPI Number Information
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NPI Number | 1508912379
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Entity Type | Organization
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Legal Business Name | ACE HEALTH CENTER, LTD.
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 08/28/2024
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Provider Practice Location Address
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Address Line | 203 E IRVING PARK RD
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City | WOOD DALE
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State | IL
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Zip | 60191-2045
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Country | US
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Telephone | 847-385-0700
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Fax | 847-398-4585
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Provider Business Mailing Address
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Address Line | 203 E IRVING PARK RD
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City | WOOD DALE
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State | IL
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Zip | 60191-2045
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Country | US
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Telephone | 847-385-0700
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Fax | 877-550-1717
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | DALIA ZAMBRANO
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Credential |
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Telephone | 847-358-0700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 042618214
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 042618214
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 042618214
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 042618214
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 042618214
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License Number State | IL
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Taxonomy #6
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | 042618214
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License Number State | IL
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Taxonomy #7
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 042618214
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License Number State | IL
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Taxonomy #8
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 042618214
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License Number State | IL
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Taxonomy #9
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 042618214
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License Number State | IL
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