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General NPI Number Information
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NPI Number | 1801128962
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Entity Type | Organization
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Legal Business Name | COMFORT CARE LLC
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Dates
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Enumeration Date | 02/01/2010
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Last Update Date | 02/23/2015
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Provider Practice Location Address
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Address Line | 8527 S STONY ISLAND AVE
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City | CHICAGO
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State | IL
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Zip | 60617-2247
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Country | US
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Telephone | 773-221-4400
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Fax |
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Provider Business Mailing Address
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Address Line | 9427 S CALUMET AVE
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City | CHICAGO
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State | IL
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Zip | 60619-7307
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Country | US
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Telephone | 773-412-3969
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. SANDY WILBORN
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Credential | LPN
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Telephone | 773-221-4400
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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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