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Organization
TAKE CARE HEALTH SERVICES PA
Active
Organization
TAKE CARE HEALTH SERVICES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH HEGG (ASSISTANT SECRETARY)
(217) 709-2469
Entity
Organization
Contact information
Practice address
408 E MICHIGAN ST, ORLANDO, FL 32806-4542
(855) 925-4733
(217) 709-2345
Mailing address
1901 E VOORHEES ST, MS 640, DANVILLE, IL 61832-4509
(855) 925-4733
(217) 709-2345
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012255-01
—
FL
05
—
0012255-02
—
FL
05
—
0012255-03
—
FL
05
—
0012255-04
—
FL
05
—
0012255-05
—
FL
05
—
0012255-06
—
FL
05
—
0012255-07
—
FL
05
—
0012255-08
—
FL
05
—
0012255-09
—
FL
05
—
0012255-10
—
FL
05
—
0012255-11
—
FL
05
—
0012255-12
—
FL
05
—
0012255-13
—
FL
05
—
0012255-14
—
FL
05
—
0012255-15
—
FL
05
—
0012255-16
—
FL
05
—
0012255-17
—
FL
05
—
0012255-18
—
FL
05
—
0012255-19
—
FL
05
—
0012255-20
—
FL
05
—
0012255-21
—
FL
05
—
0012255-22
—
FL
05
—
0012255-23
—
FL
05
—
0012255-24
—
FL
05
—
0012255-25
—
FL
05
—
0012255-26
—
FL
05
—
0012255-27
—
FL
05
—
0012255-28
—
FL
05
—
0012255-29
—
FL
05
—
0012255-30
—
FL
05
—
0012255-31
—
FL
05
—
0012255-32
—
FL
05
—
0012255-34
—
FL
05
—
0012255-35
—
FL
05
—
0012255-36
—
FL
05
—
0012255-37
—
FL
05
—
0012255-38
—
FL
05
—
0012255-39
—
FL
05
—
0012255-40
—
FL
05
—
0012255-41
—
FL
05
—
0012255-42
—
FL
05
—
0012255-43
—
FL
05
—
0012255-44
—
FL
05
—
0012255-45
—
FL
05
—
0012255-46
—
FL
05
—
0012255-47
—
FL
05
—
0012255-48
—
FL
Enumeration date
08/05/2007
Last updated
03/20/2019
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