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General NPI Number Information
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NPI Number | 1548157340
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Entity Type | Organization
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Legal Business Name | ACCESS COMMUNITY HEALTH NETWORK
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Dates
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Enumeration Date | 06/23/2025
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 1120 N ARLINGTON HEIGHTS RD
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60004-4767
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Country | US
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Telephone | 847-342-1554
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Fax | 847-342-1711
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Provider Business Mailing Address
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Address Line | 312 BRODIE CT
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City | NAPERVILLE
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State | IL
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Zip | 60540-8288
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Country | US
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Telephone | 630-386-0648
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Fax |
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Authorized Official
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Title or Position | MANGER
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Name | NICOLE JACKSON
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Credential |
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Telephone | 312-526-2279
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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