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General NPI Number Information
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NPI Number | 1750987046
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Entity Type | Organization
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Legal Business Name | THE CORI GROUP INC.
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Dates
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Enumeration Date | 12/10/2020
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Last Update Date | 09/13/2022
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Provider Practice Location Address
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Address Line | 1919 S HIGHLAND AVE STE 208C
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City | LOMBARD
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State | IL
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Zip | 60148-6208
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Country | US
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Telephone | 630-519-3607
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Fax | 630-519-3719
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Provider Business Mailing Address
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Address Line | 1919 S HIGHLAND AVE STE 208C
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City | LOMBARD
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State | IL
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Zip | 60148-6208
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Country | US
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Telephone | 630-519-3607
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Fax | 630-519-3719
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Authorized Official
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Title or Position | OWNER
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Name | MRS. CORITA DAVIS
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Credential |
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Telephone | 630-519-3607
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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