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General NPI Number Information
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NPI Number | 1578114716
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Entity Type | Organization
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Legal Business Name | VISITING NURSES OF ILLINOIS, INC.
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Dates
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Enumeration Date | 09/27/2019
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Last Update Date | 06/25/2021
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Provider Practice Location Address
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Address Line | 5901 N CICERO AVE STE 102
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City | CHICAGO
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State | IL
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Zip | 60646-5715
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Country | US
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Telephone | 773-728-6820
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Fax | 773-672-8895
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Provider Business Mailing Address
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Address Line | 5901 N CICERO AVE STE 102
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City | CHICAGO
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State | IL
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Zip | 60646-5715
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Country | US
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Telephone | 773-728-6820
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Fax | 773-672-8895
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. BALAJOJI REDDY THANUGUNDLA
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Credential |
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Telephone | 773-728-6820
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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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