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General NPI Number Information
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NPI Number | 1518306869
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Entity Type | Organization
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Legal Business Name | APOLLO HEALTH, INC
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Dates
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Enumeration Date | 06/20/2013
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Last Update Date | 07/29/2015
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Provider Practice Location Address
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Address Line | 3344 W PETERSON AVE SUITE 101
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City | CHICAGO
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State | IL
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Zip | 60659-3528
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Country | US
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Telephone | 773-245-3222
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Fax | 773-796-5250
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Provider Business Mailing Address
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Address Line | 3344 W PETERSON AVE SUITE 101
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City | CHICAGO
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State | IL
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Zip | 60659-3528
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Country | US
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Telephone | 773-245-3222
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Fax | 773-796-5250
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Authorized Official
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Title or Position | OWNER
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Name | MR. BRIAN J WEINSTEIN
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Credential | NP
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Telephone | 773-245-3222
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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 | 209.007535
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License Number State | IL
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