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General NPI Number Information
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NPI Number | 1609670389
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Entity Type | Organization
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Legal Business Name | ARCHOS MULTISPECIALTY SERVICES, INC
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Dates
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Enumeration Date | 04/02/2025
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 1328 MAIN ST
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City | CRETE
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State | IL
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Zip | 60417-2131
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Country | US
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Telephone | 708-277-6924
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Fax |
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Provider Business Mailing Address
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Address Line | 1328 MAIN ST
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City | CRETE
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State | IL
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Zip | 60417-2131
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Country | US
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Telephone | 708-277-6924
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. VANESSA ADRANEDA
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Credential |
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Telephone | 708-305-6086
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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