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General NPI Number Information
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NPI Number | 1558467688
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Entity Type | Organization
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Legal Business Name | MED CARE HEALTH MANAGEMENT CORPORATION
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 7820 GRAPHICS DR STE 207
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City | TINLEY PARK
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State | IL
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Zip | 60477-6278
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Country | US
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Telephone | 708-344-3100
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Fax | 708-344-3131
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Provider Business Mailing Address
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Address Line | 7820 GRAPHIC DR STE 201
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City | TINLEY PARK
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State | IL
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Zip | 60477-6278
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Country | US
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Telephone | 773-685-9025
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Fax | 773-685-9066
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | MR. ABITURAB 'ABI' BOXWALLA
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Credential |
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Telephone | 708-825-4060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 1010412
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License Number State | IL
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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 | 1010412
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License Number State | IL
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