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General NPI Number Information
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NPI Number | 1780660878
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Entity Type | Organization
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Legal Business Name | THE POINTE AT KILPATRICK
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Dates
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Enumeration Date | 12/20/2005
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Last Update Date | 04/25/2025
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Provider Practice Location Address
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Address Line | 14230 KILPATRICK AVE
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City | CRESTWOOD
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State | IL
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Zip | 60445-2399
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Country | US
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Telephone | 708-293-0010
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Fax | 708-293-0020
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Provider Business Mailing Address
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Address Line | 14230 KILPATRICK AVE
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City | CRESTWOOD
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State | IL
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Zip | 60445-2399
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Country | US
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Telephone | 708-293-0010
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Fax | 708-293-0020
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Authorized Official
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Title or Position | MANAGING MEMBER OF GENERAL PARTNER
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Name | MICHAEL G STEIN
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Credential |
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Telephone | 773-230-7762
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311500000X
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Taxonomy Name | Alzheimer Center (Dementia Center)
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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 | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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