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General NPI Number Information
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NPI Number | 1942936067
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Entity Type | Organization
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Legal Business Name | 1ST ADVANTAGE HEALTHCARE INCORPORATED
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Dates
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Enumeration Date | 07/29/2022
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 2720 S RIVER RD STE 233
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City | DES PLAINES
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State | IL
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Zip | 60018-4106
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Country | US
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Telephone | 224-500-3986
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Fax | 224-220-9716
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Provider Business Mailing Address
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Address Line | 2720 S RIVER RD STE 231
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City | DES PLAINES
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State | IL
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Zip | 60018-4106
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Country | US
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Telephone | 224-500-3986
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Fax | 224-347-1236
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ANITA C CABANLIT
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Credential |
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Telephone | 224-518-7268
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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 |
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License Number State |
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