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General NPI Number Information
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NPI Number | 1710726559
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Entity Type | Organization
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Legal Business Name | KADABAENTERPRISE LLC
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Dates
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Enumeration Date | 05/21/2024
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Last Update Date | 01/11/2025
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Provider Practice Location Address
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Address Line | 1075 ATLANTIC AVE APT E
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60169-3762
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Country | US
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Telephone | 224-386-5445
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Fax |
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Provider Business Mailing Address
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Address Line | 1075 ATLANTIC AVE APT E
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60169-3762
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Country | US
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Telephone | 224-386-5445
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. KADIRI ADABA
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Credential | MD
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Telephone | 224-386-5445
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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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 | 251B00000X
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Taxonomy Name | Case Management 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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Taxonomy #4
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 333300000X
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Taxonomy Name | Emergency Response System Companies
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 342000000X
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Taxonomy Name | Transportation Network Company
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License Number |
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License Number State |
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Taxonomy #7
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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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Taxonomy #8
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Taxonomy Code | 202D00000X
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Taxonomy Name | Integrative Medicine Physician
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License Number |
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License Number State |
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