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General NPI Number Information
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NPI Number | 1851439079
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Entity Type | Organization
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Legal Business Name | UNITED HOME CARE INCORPORATED OF ILLINOIS
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 05/27/2015
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Provider Practice Location Address
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Address Line | 500 E HIGGINS ROAD SUITE 105
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City | ELK GROVE VILLAGE
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State | IL
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Zip | 60007-1437
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Country | US
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Telephone | 847-640-2030
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Fax | 847-640-2031
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Provider Business Mailing Address
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Address Line | 500 E HIGGINS ROAD SUITE 105
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City | ELK GROVE VILLAGE
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State | IL
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Zip | 60007-1437
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Country | US
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Telephone | 847-640-2030
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Fax | 847-640-2031
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Authorized Official
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Title or Position | PRES./ADMINISTRATOR
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Name | MS. JUDY C AGNO
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Credential | RN, BSN
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Telephone | 847-640-2030
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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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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 1010181
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License Number State | IL
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