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General NPI Number Information
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NPI Number | 1780914333
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Entity Type | Organization
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Legal Business Name | GOOD LIFE HOME HEALTH CARE, INC.
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Dates
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Enumeration Date | 01/04/2010
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Last Update Date | 01/05/2025
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Provider Practice Location Address
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Address Line | 5225 OLD ORCHARD RD STE 39
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City | SKOKIE
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State | IL
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Zip | 60077-1027
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Country | US
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Telephone | 773-561-4526
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Fax |
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Provider Business Mailing Address
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Address Line | 5225 OLD ORCHARD RD STE 39
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City | SKOKIE
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State | IL
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Zip | 60077-1027
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Country | US
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Telephone | 773-561-4526
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Fax | 773-561-8085
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. VICTORINO L GABOR
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Credential |
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Telephone | 847-778-8739
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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 | 1011133
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License Number State | IL
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