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General NPI Number Information
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NPI Number | 1881504561
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Entity Type | Organization
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Legal Business Name | IL INTEGRATED NEPHROLOGY & HYDRATION SERVICES LLC
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Dates
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Enumeration Date | 09/08/2026
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Last Update Date | 09/08/2026
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Provider Practice Location Address
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Address Line | 7360 N LINCOLN AVE STE 100
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City | LINCOLNWOOD
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State | IL
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Zip | 60712-1705
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Country | US
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Telephone | 224-390-0191
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Fax |
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Provider Business Mailing Address
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Address Line | 7360 N LINCOLN AVE STE 100
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City | LINCOLNWOOD
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State | IL
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Zip | 60712-1705
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Country | US
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Telephone | 224-390-0191
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | ELIYAHU YITZHAK CARUTHERS
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Credential |
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Telephone | 312-409-5425
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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