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General NPI Number Information
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NPI Number | 1518670769
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Entity Type | Organization
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Legal Business Name | SUNNY SKIES HEALTHCARE, INC.
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Dates
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Enumeration Date | 01/03/2023
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | 805 W RANDOLPH ST STE 202-A
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City | CHICAGO
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State | IL
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Zip | 60607-2336
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Country | US
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Telephone | 125-263-5003
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Fax | 312-291-9126
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Provider Business Mailing Address
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Address Line | 805 W RANDOLPH ST. SUITE 202
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City | CHICAGO
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State | IL
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Zip | 60607-2333
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Country | US
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Telephone | 312-526-3500
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Fax | 312-291-9126
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Authorized Official
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Title or Position | PRESIDENT
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Name | GEORGIOS NIKOLAOS ASIMIS
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Credential | MD
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Telephone | 312-526-3500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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