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General NPI Number Information
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NPI Number | 1760280945
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Entity Type | Organization
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Legal Business Name | IMADE HEALTH SERVICES INC.
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Dates
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Enumeration Date | 03/04/2025
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 6840 176TH ST
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City | TINLEY PARK
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State | IL
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Zip | 60477-3848
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Country | US
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Telephone | 708-645-6998
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Fax |
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Provider Business Mailing Address
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Address Line | 6840 176TH ST
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City | TINLEY PARK
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State | IL
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Zip | 60477-3848
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Country | US
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Telephone | 708-645-6998
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Fax | 708-645-6998
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Authorized Official
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Title or Position | REGISTERED NURSE
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Name | GODWIN IMANLIHEN
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Credential |
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Telephone | 708-645-6998
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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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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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