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NPI 1801021258

NPI 1801021258 : ADVANCED CLINICAL SOLUTIONS, INC. : NORTHBROOK, IL

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General NPI Number Information
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    NPI Number           |    1801021258
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    Entity Type          |    Organization 
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    Legal Business Name  |    ADVANCED CLINICAL SOLUTIONS, INC. 
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Dates
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    Enumeration Date     |    05/28/2009
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    Last Update Date     |    07/02/2010
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Provider Practice Location Address
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    Address Line         |    1836 TECHNY CT 
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    City                 |    NORTHBROOK
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    State                |    IL
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    Zip                  |    60062-5474
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    Country              |    US
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    Telephone            |    847-714-9110
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    Fax                  |    847-714-9110
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Provider Business Mailing Address
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    Address Line         |    1836 TECHNY CT 
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    City                 |    NORTHBROOK
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    State                |    IL
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    Zip                  |    60062-5474
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    Country              |    US
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    Telephone            |    847-714-9110
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    Fax                  |    847-714-9110
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MR. NORBERTAS  NAGUIS 
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    Credential           |    A.E.S.,  A.S.,  A.A.
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    Telephone            |    630-234-3516
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    203.001091
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    License Number State |    IL
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