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General NPI Number Information
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NPI Number | 1689737470
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Entity Type | Organization
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Legal Business Name | THE SELFHELP HOME, INC
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 09/26/2019
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Provider Practice Location Address
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Address Line | 908 W ARGYLE ST
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City | CHICAGO
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State | IL
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Zip | 60640-3806
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Country | US
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Telephone | 773-271-0300
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Fax | 773-271-6300
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Provider Business Mailing Address
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Address Line | 908 W ARGYLE ST
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City | CHICAGO
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State | IL
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Zip | 60640-3806
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Country | US
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Telephone | 773-271-0300
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Fax | 773-271-6300
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. SHEILA BOGEN
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Credential | LNHA
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Telephone | 773-271-0300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 0018580
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License Number State | IL
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