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General NPI Number Information
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NPI Number | 1952466757
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Entity Type | Organization
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Legal Business Name | AB4U, INC.
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Dates
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Enumeration Date | 12/22/2006
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Last Update Date | 08/12/2008
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Provider Practice Location Address
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Address Line | 5325 N SHERIDAN RD
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City | CHICAGO
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State | IL
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Zip | 60640-2531
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Country | US
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Telephone | 773-271-5325
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Fax | 773-271-2455
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Provider Business Mailing Address
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Address Line | 5428 EBONY CT
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City | GURNEE
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State | IL
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Zip | 60031-6339
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Country | US
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Telephone | 847-877-0565
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. VASILI SHEGELSKY
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Credential |
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Telephone | 847-877-0565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 203.000458
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License Number State | IL
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