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General NPI Number Information
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NPI Number | 1851182182
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Entity Type | Organization
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Legal Business Name | ENHANCED HEALTH PLLC
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Dates
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Enumeration Date | 05/15/2025
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 115 N MARION ST STE 9
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City | OAK PARK
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State | IL
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Zip | 60301-1503
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Country | US
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Telephone | 708-719-9954
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Fax | 980-238-2590
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Provider Business Mailing Address
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Address Line | 115 N MARION ST STE 9
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City | OAK PARK
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State | IL
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Zip | 60301-1503
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Country | US
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Telephone | 708-719-9954
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Fax | 980-238-2590
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Authorized Official
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Title or Position | FNP
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Name | SHATARA COLEMAN
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Credential |
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Telephone | 708-719-9954
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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