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General NPI Number Information
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NPI Number | 1598682221
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Entity Type | Organization
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Legal Business Name | ELITE LIVING SERVICES
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Dates
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Enumeration Date | 07/02/2026
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Last Update Date | 07/02/2026
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Provider Practice Location Address
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Address Line | 422 S MAIN ST 1130
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City | BOLINGBROOK
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State | IL
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Zip | 60440
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Country | US
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Telephone | 866-354-8359
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Fax |
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Provider Business Mailing Address
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Address Line | 215 S WESTMORE AVE UNIT 101
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City | LOMBARD
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State | IL
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Zip | 60148-3010
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GREGORY BALDWIN
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Credential |
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Telephone | 708-640-5025
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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