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General NPI Number Information
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NPI Number | 1881355345
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Entity Type | Organization
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Legal Business Name | PATHWAY LA GRANGE PROPERTY OWNER, LLC
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Dates
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Enumeration Date | 01/06/2022
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Last Update Date | 01/06/2022
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Provider Practice Location Address
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Address Line | 35 SHAWMUT AVE
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City | LA GRANGE
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State | IL
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Zip | 60525-8648
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Country | US
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Telephone | 708-206-9899
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Fax |
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Provider Business Mailing Address
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Address Line | 222 S RIVERSIDE PLZ FL 20
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City | CHICAGO
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State | IL
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Zip | 60606-5808
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Country | US
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Telephone | 312-837-0701
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Fax |
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Authorized Official
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Title or Position | RISK MANAGER
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Name | KRISTENJ BECHT
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Credential |
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Telephone | 312-837-0710
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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