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General NPI Number Information
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NPI Number | 1740905975
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Entity Type | Organization
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Legal Business Name | CEDAR HILLS HEALTH & REHAB, LLC
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Dates
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Enumeration Date | 10/10/2022
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Last Update Date | 10/19/2022
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Provider Practice Location Address
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Address Line | 3615 16TH ST
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City | ZION
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State | IL
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Zip | 60099-1423
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Country | US
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Telephone | 847-746-8382
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Fax |
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Provider Business Mailing Address
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Address Line | 2711 W HOWARD ST
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City | CHICAGO
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State | IL
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Zip | 60645-1303
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | MICHAEL NUDELL
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Credential |
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Telephone | 847-746-8382
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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 |
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License Number State |
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