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General NPI Number Information
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NPI Number | 1619967411
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Entity Type | Organization
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Legal Business Name | UNLIMITED ADVACARE INC
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Dates
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Enumeration Date | 10/24/2005
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Last Update Date | 08/30/2024
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Provider Practice Location Address
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Address Line | 2939 N PULASKI RD
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City | CHICAGO
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State | IL
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Zip | 60641-5421
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Country | US
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Telephone | 773-725-8858
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Fax | 773-304-9996
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Provider Business Mailing Address
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Address Line | 2939 N PULASKI RD
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City | CHICAGO
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State | IL
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Zip | 60641-5421
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Country | US
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Telephone | 773-794-5014
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Fax | 773-304-9996
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Authorized Official
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Title or Position | PRESIDENT CEO
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Name | LARRY FELDMAN
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Credential |
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Telephone | 773-491-1300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | IL
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