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General NPI Number Information
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NPI Number | 1558462630
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Entity Type | Organization
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Legal Business Name | CHOICE HOME HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 01/14/2021
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Provider Practice Location Address
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Address Line | 5765 N LINCOLN AVE STE 21
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City | CHICAGO
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State | IL
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Zip | 60659-4730
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Country | US
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Telephone | 773-290-1333
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Fax | 773-290-1932
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Provider Business Mailing Address
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Address Line | 5765 N LINCOLN AVE STE 21
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City | CHICAGO
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State | IL
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Zip | 60659-4730
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Country | US
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Telephone | 773-290-1333
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Fax | 773-290-1932
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DAVID CHOI
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Credential |
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Telephone | 773-290-1333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 1010624
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License Number State | IL
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