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General NPI Number Information
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NPI Number | 1962747154
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Entity Type | Organization
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Legal Business Name | PROGRESSIVE INDEPENDENCE, LLC
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Dates
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Enumeration Date | 11/29/2012
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Last Update Date | 05/09/2024
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Provider Practice Location Address
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Address Line | 34W920 DUCHESNE DR
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City | DUNDEE
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State | IL
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Zip | 60118-3125
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Country | US
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Telephone | 224-558-7599
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Fax |
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Provider Business Mailing Address
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Address Line | 34W920 DUCHESNE DR
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City | DUNDEE
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State | IL
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Zip | 60118-3125
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Country | US
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Telephone | 224-558-7599
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ELIZABETH A LOPEZ
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Credential |
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Telephone | 847-551-5911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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