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General NPI Number Information
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NPI Number | 1649137159
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Entity Type | Organization
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Legal Business Name | ELEVATED WOMAN CARE
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Dates
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Enumeration Date | 01/06/2026
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 2640 W 85TH ST
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City | CHICAGO
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State | IL
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Zip | 60652-3916
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Country | US
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Telephone | 312-206-9801
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Fax |
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Provider Business Mailing Address
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Address Line | 7814 S WINCHESTER AVE
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City | CHICAGO
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State | IL
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Zip | 60620-5770
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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 | COO
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Name | MONIQUE RHIVERS
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Credential |
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Telephone | 312-206-9801
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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