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General NPI Number Information
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NPI Number | 1730008178
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Entity Type | Organization
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Legal Business Name | MIDWEST PRIME HOME CARE LLC
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Dates
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Enumeration Date | 07/10/2026
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Last Update Date | 07/13/2026
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Provider Practice Location Address
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Address Line | 800 W CENTRAL RD STE 149
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City | MOUNT PROSPECT
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State | IL
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Zip | 60056-6511
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Country | US
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Telephone | 630-915-9177
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Fax |
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Provider Business Mailing Address
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Address Line | 800 W CENTRAL RD STE 149
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City | MOUNT PROSPECT
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State | IL
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Zip | 60056-6511
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Country | US
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Telephone | 630-915-9177
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AHMED YOUSUF
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Credential |
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Telephone | 630-915-9177
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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