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General NPI Number Information
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NPI Number | 1841441276
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Entity Type | Organization
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Legal Business Name | INTEGRATED HEALTH CARE SERVICES, INC
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Dates
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Enumeration Date | 10/03/2008
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Last Update Date | 01/27/2012
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Provider Practice Location Address
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Address Line | 621 S PLAINFIELD ROAD SUITE 401
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City | WILLOWBROOK
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State | IL
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Zip | 60527-5391
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Country | US
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Telephone | 708-687-9850
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Fax |
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Provider Business Mailing Address
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Address Line | 621 PLAINFIELD RD SUITE 401
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City | WILLOWBROOK
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State | IL
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Zip | 60527-5343
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Country | US
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Telephone | 708-687-9850
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. REMEDIOS B GABRIEL
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Credential | RN
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Telephone | 708-687-9850
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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 | 1894725
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License Number State | IL
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