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General NPI Number Information
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NPI Number | 1538806880
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Entity Type | Organization
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Legal Business Name | SENIORCARE MIDWEST, INC.
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Dates
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Enumeration Date | 05/18/2022
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Last Update Date | 06/28/2022
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Provider Practice Location Address
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Address Line | 4747 W PETERSON AVE STE 310
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City | CHICAGO
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State | IL
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Zip | 60646-5744
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Country | US
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Telephone | 800-684-0722
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Fax | 773-261-8279
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Provider Business Mailing Address
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Address Line | 4747 W PETERSON AVE STE 310
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City | CHICAGO
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State | IL
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Zip | 60646-5744
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Country | US
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Telephone | 800-684-0722
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Fax | 773-261-8279
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MELQUISEDECK ARANAS
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Credential |
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Telephone | 773-569-6698
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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