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NPI 1003163312

NPI 1003163312 : WILLIAM VOGDS DC LTD : CAROL STREAM, IL

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General NPI Number Information
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    NPI Number           |    1003163312
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    Entity Type          |    Organization 
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    Legal Business Name  |    WILLIAM VOGDS DC LTD 
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Dates
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    Enumeration Date     |    08/07/2012
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    Last Update Date     |    07/21/2022
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Provider Practice Location Address
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    Address Line         |    25W330 GENEVA RD 
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    City                 |    CAROL STREAM
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    State                |    IL
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    Zip                  |    60188-2328
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    Country              |    US
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    Telephone            |    630-605-1741
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    25W330 GENEVA ROAD 
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    City                 |    CAROL STREAM
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    State                |    IL
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    Zip                  |    60188
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    Country              |    US
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    Telephone            |    630-605-1741
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER/
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    Name                 |    DR. WILLIAM JOHN VOGDS 
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    Credential           |    DC
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    Telephone            |    630-605-1741
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QP2300X
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    Taxonomy Name        |    Primary Care Clinic/Center
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    License Number       |    
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    License Number State |    IL
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