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General NPI Number Information
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NPI Number | 1942547229
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Entity Type | Organization
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Legal Business Name | SYCAMORE INTEGRATED HEALTH, LTD
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Dates
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Enumeration Date | 01/07/2013
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 920 W PRAIRIE DR STE J
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City | SYCAMORE
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State | IL
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Zip | 60178-3123
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Country | US
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Telephone | 815-895-3354
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Fax | 815-895-3345
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Provider Business Mailing Address
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Address Line | 920 W PRAIRIE DR STE J
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City | SYCAMORE
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State | IL
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Zip | 60178-3123
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Country | US
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Telephone | 815-895-3354
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Fax | 815-895-3345
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | JUDI GALICK
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Credential |
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Telephone | 815-895-3354
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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