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General NPI Number Information
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NPI Number | 1689500399
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Entity Type | Organization
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Legal Business Name | KLC INDEPENDENT LIVING
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Dates
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Enumeration Date | 06/20/2026
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Last Update Date | 06/20/2026
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Provider Practice Location Address
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Address Line | 1717 W GARFIELD BLVD
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City | CHICAGO
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State | IL
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Zip | 60636-1210
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Country | US
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Telephone | 773-396-8610
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Fax |
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Provider Business Mailing Address
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Address Line | 1717 W GARFIELD BLVD
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City | CHICAGO
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State | IL
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Zip | 60636-1210
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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 | DIRECTOR
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Name | KANDACE CURTISS
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Credential | DR
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Telephone | 773-396-8610
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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