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General NPI Number Information
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NPI Number | 1568777456
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Entity Type | Organization
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Legal Business Name | ST. FRANCIS OF ASSISI HEALTHCARE, INC.
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Dates
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Enumeration Date | 08/16/2010
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Last Update Date | 12/13/2022
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Provider Practice Location Address
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Address Line | 636 S RIVER RD STE 301
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City | DES PLAINES
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State | IL
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Zip | 60016-4624
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Country | US
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Telephone | 773-523-2900
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Fax | 773-523-2905
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Provider Business Mailing Address
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Address Line | 636 S RIVER RD STE 301
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City | DES PLAINES
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State | IL
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Zip | 60016-4624
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Country | US
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Telephone | 773-523-2900
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Fax | 773-523-2905
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RASHID AZIZ
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Credential |
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Telephone | 773-523-2900
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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 | 1011316
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License Number State | IL
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