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General NPI Number Information
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NPI Number | 1952126898
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Entity Type | Organization
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Legal Business Name | RELIABLE-HEALTHCARE LLC
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Dates
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Enumeration Date | 11/16/2024
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 20200 GOVERNORS DR STE 101
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City | OLYMPIA FIELDS
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State | IL
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Zip | 60461-1056
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Country | US
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Telephone | 773-440-1368
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Fax | 708-273-5524
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Provider Business Mailing Address
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Address Line | 4363 MAPLE TER
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City | COUNTRY CLUB HILLS
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State | IL
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Zip | 60478-5541
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Country | US
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Telephone | 773-440-1368
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Fax | 708-273-5524
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Authorized Official
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Title or Position | MANAGER
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Name | ABIGAIL OGUNNIYI
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Credential | FNP-BC
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Telephone | 773-440-1368
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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