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General NPI Number Information
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NPI Number | 1740996891
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Entity Type | Organization
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Legal Business Name | EUKHARIS LLC
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Dates
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Enumeration Date | 01/23/2023
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 222 E WISCONSIN AVE STE 306
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City | LAKE FOREST
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State | IL
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Zip | 60045-1723
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Country | US
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Telephone | 847-691-9228
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Fax |
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Provider Business Mailing Address
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Address Line | 222 E WISCONSIN AVE STE 306
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City | LAKE FOREST
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State | IL
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Zip | 60045-1723
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Country | US
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Telephone | 847-874-8226
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Fax |
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Authorized Official
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Title or Position | MANAGER DIRECTOR
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Name | PABLO JANOWICZ
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Credential |
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Telephone | 847-691-9228
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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