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General NPI Number Information
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NPI Number | 1558278770
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Entity Type | Organization
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Legal Business Name | CHICAGOLAND HOME CARE LLC
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Dates
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Enumeration Date | 08/25/2026
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Last Update Date | 08/25/2026
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Provider Practice Location Address
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Address Line | 8550 S HARLEM AVE STE G
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City | BRIDGEVIEW
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State | IL
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Zip | 60455-1775
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Country | US
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Telephone | 709-237-9000
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Fax | 709-237-1577
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Provider Business Mailing Address
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Address Line | 8550 S HARLEM AVE STE G
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City | BRIDGEVIEW
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State | IL
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Zip | 60455-1775
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Country | US
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Telephone | 709-237-9000
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Fax | 709-237-1577
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MR. ISA RIADI
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Credential |
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Telephone | 219-985-4433
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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