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General NPI Number Information
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NPI Number | 1710850151
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Entity Type | Organization
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Legal Business Name | EVERBRIGHT VENTURE
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Dates
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Enumeration Date | 09/23/2025
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 559 GREGORY AVE APT 2D
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City | GLENDALE HEIGHTS
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State | IL
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Zip | 60139-7534
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Country | US
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Telephone | 630-457-8029
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Fax |
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Provider Business Mailing Address
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Address Line | 559 GREGORY AVE APT 2D
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City | GLENDALE HEIGHTS
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State | IL
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Zip | 60139-7534
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Country | US
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Telephone | 630-457-8029
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | SAMIULLAH KARIM
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Credential |
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Telephone | 630-457-8029
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State |
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