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General NPI Number Information
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NPI Number | 1922261197
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Entity Type | Organization
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Legal Business Name | SIMPLY HOME HEALTHCARE LLC
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Dates
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Enumeration Date | 07/08/2008
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Last Update Date | 05/24/2018
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Provider Practice Location Address
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Address Line | 2912 N LINCOLN AVE
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City | CHICAGO
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State | IL
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Zip | 60657
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Country | US
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Telephone | 773-698-6908
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Fax | 847-637-2540
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Provider Business Mailing Address
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Address Line | 2912 N LINCOLN AVE
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City | CHICAGO
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State | IL
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Zip | 60657-4109
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Country | US
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Telephone | 773-698-6908
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Fax | 888-439-8416
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. ROBERT KUNIO
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Credential | BSMAE
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Telephone | 773-698-6908
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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 | 1010916
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License Number State | IL
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