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General NPI Number Information
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NPI Number | 1639827942
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Entity Type | Organization
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Legal Business Name | ACES OF HOME HEALTH SERVICES INC
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Dates
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Enumeration Date | 03/15/2022
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Last Update Date | 03/15/2022
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Provider Practice Location Address
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Address Line | 411 E BUSINESS CENTER DR STE 105
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City | MT PROSPECT
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State | IL
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Zip | 60056-6040
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Country | US
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Telephone | 224-848-9837
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Fax |
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Provider Business Mailing Address
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Address Line | 2609 W BELMONT AVE UNIT 202W
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City | CHICAGO
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State | IL
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Zip | 60618-5940
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Country | US
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Telephone | 312-823-3664
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JASON LAWRENCE SIMBAJON
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Credential |
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Telephone | 312-823-3664
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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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