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  • 148096
CCN: 148096 NPI: 1053570614 Organization

Elite Healthcare Providers, LLC

913 S STATE ST , SUITE 2
LOCKPORT, IL 604413613

Contact Information

  • Phone 8158368100
  • Fax 8158389188
  • Enumeration Date 2008-06-08
  • Last Updated 2010-06-08

Taxonomies

  • Code: 251E00000X (Primary) License State: IL License: 1010863

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 4
cbsaActualGeographicLocation 16974
providerType 36
censusDivision 4
cbsaActualGeographicLocation 16974
providerType 36
censusDivision 4
cbsaActualGeographicLocation 16974
providerType 36
censusDivision 4
cbsaActualGeographicLocation 16974
providerType 36
censusDivision 4
cbsaActualGeographicLocation 16974
providerType 36
censusDivision 4
cbsaActualGeographicLocation 16974
providerType 36
censusDivision 4
cbsaActualGeographicLocation 16974
providerType 36
censusDivision 4
cbsaActualGeographicLocation 16974
providerType 36
censusDivision 4
cbsaActualGeographicLocation 16974
providerType 36
censusDivision 4
cbsaActualGeographicLocation 16974
providerType 36

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 16974
providerType 36
specialPaymentIndicator
carrierCode 06102
localityCode 15
cbsaActualGeographicLocation 16974
providerType 36
specialPaymentIndicator
carrierCode 06102
localityCode 15

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