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General NPI Number Information
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NPI Number | 1669398509
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Entity Type | Organization
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Legal Business Name | QASS WELLNESS REVOLUTION LLC
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Dates
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Enumeration Date | 06/25/2026
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Last Update Date | 06/25/2026
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Provider Practice Location Address
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Address Line | 135 E SAINT CHARLES RD STE F1
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City | CAROL STREAM
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State | IL
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Zip | 60188-2078
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Country | US
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Telephone | 708-556-4464
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Fax |
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Provider Business Mailing Address
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Address Line | 551 SOUTH ST
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City | ELGIN
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State | IL
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Zip | 60123-6250
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Country | US
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Telephone | 708-994-3134
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MR. ABDUL JALEEL QAZI
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Credential |
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Telephone | 708-994-3134
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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