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General NPI Number Information
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NPI Number | 1548191711
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Entity Type | Organization
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Legal Business Name | ASPYRE OF WAUKEGAN LLC
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Dates
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Enumeration Date | 05/27/2026
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Last Update Date | 05/28/2026
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Provider Practice Location Address
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Address Line | 1615 SUNSET AVE
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City | WAUKEGAN
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State | IL
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Zip | 60087-3810
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Country | US
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Telephone | 847-244-6700
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Fax | 847-244-7925
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Provider Business Mailing Address
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Address Line | 8140 MCCORMICK BLVD STE 138
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City | SKOKIE
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State | IL
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Zip | 60076-2920
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEDICARE AUTHORIZED OFFICIAL
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Name | EFRIAM WEINFELD
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Credential |
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Telephone | 773-557-0432
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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