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General NPI Number Information
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NPI Number | 1922151851
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Entity Type | Organization
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Legal Business Name | AMBULATORY HEALTH CARE SERVICES, LTD.
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7660 GROSS POINT RD
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City | SKOKIE
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State | IL
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Zip | 60077-2613
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Country | US
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Telephone | 847-470-5450
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Fax | 847-470-5485
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Provider Business Mailing Address
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Address Line | 7660 GROSS POINT RD
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City | SKOKIE
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State | IL
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Zip | 60077-2613
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Country | US
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Telephone | 847-470-5450
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Fax | 847-470-5485
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Authorized Official
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Title or Position | CEO
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Name | MS. JOVITA FUENTES
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Credential | RN
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Telephone | 847-470-5450
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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 | 1008796
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License Number State | IL
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