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General NPI Number Information
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NPI Number | 1952656035
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Entity Type | Organization
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Legal Business Name | NOVA HOME MEDICAL CARE LLC
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Dates
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Enumeration Date | 07/16/2012
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 47 BIRCHWOOD RD
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City | NORTHBROOK
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State | IL
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Zip | 60062-1244
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Country | US
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Telephone | 847-975-1033
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Fax | 888-907-8030
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Provider Business Mailing Address
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Address Line | 47 BIRCHWOOD RD
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City | NORTHBROOK
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State | IL
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Zip | 60062-1244
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Country | US
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Telephone | 847-975-1033
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Fax | 888-907-8030
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DR. MARIA DERYLO
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Credential | DNP, MSN, APN-BC
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Telephone | 847-571-3045
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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