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General NPI Number Information
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NPI Number | 1720039373
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Entity Type | Organization
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Legal Business Name | QUALITY HOME CARE SERVICES LTD
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3510 W 79TH ST
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City | CHICAGO
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State | IL
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Zip | 60652-1430
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Country | US
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Telephone | 773-471-0890
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Fax | 773-471-0280
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Provider Business Mailing Address
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Address Line | 3510 W 79TH ST
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City | CHICAGO
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State | IL
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Zip | 60652-1430
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Country | US
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Telephone | 773-471-0890
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Fax | 773-471-0280
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DR. RUDYARD U SMITH
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Credential | M.D.
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Telephone | 773-471-0890
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 1007038
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License Number State | IL
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