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General NPI Number Information
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NPI Number | 1831203546
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Entity Type | Organization
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Legal Business Name | WESTERN ILLINOIS HOME HEALTH CARE, INC.
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2 INDUSTRIAL PARK AVE
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City | MONMOUTH
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State | IL
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Zip | 61462-9698
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Country | US
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Telephone | 309-734-9376
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Fax | 309-734-5338
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Provider Business Mailing Address
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Address Line | 2 INDUSTRIAL PARK AVE PO BOX 856
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City | MONMOUTH
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State | IL
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Zip | 61462-9698
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Country | US
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Telephone | 309-734-9376
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Fax | 309-734-5338
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Authorized Official
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Title or Position | PRESIDENT / CEO
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Name | MRS. BARBARA A BYERS
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Credential |
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Telephone | 309-734-9376
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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 | 1006816
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License Number State | IL
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