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General NPI Number Information
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NPI Number | 1669247524
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Entity Type | Organization
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Legal Business Name | COMMUNITY WELLNESS AND HEALTH CENTER NFP
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Dates
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Enumeration Date | 11/21/2023
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Last Update Date | 11/21/2023
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Provider Practice Location Address
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Address Line | 12 DON CARLOS DR
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City | HANOVER PARK
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State | IL
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Zip | 60133-6703
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Country | US
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Telephone | 773-754-7595
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Fax |
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Provider Business Mailing Address
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Address Line | 12 DON CARLOS DR
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City | HANOVER PARK
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State | IL
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Zip | 60133-6703
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Country | US
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Telephone | 773-754-7595
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. NAUMAN KHAN AZEEMI
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Credential |
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Telephone | 773-754-7595
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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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 | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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