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General NPI Number Information
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NPI Number | 1003850843
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Entity Type | Organization
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Legal Business Name | INPATIENT CONSULTANTS OF ILLINOIS, P.C.
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 10/30/2020
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Provider Practice Location Address
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Address Line | 12125 WOODCREST EXECUTIVE DR SUITE 220
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City | SAINT LOUIS
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State | MO
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Zip | 63141-5001
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Country | US
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Telephone | 314-317-0600
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Fax | 314-317-0606
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Provider Business Mailing Address
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Address Line | 1643 NW 136TH AVE STE 100
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City | SUNRISE
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State | FL
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Zip | 33323-2857
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Country | US
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Telephone | 800-424-3672
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Fax |
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | DR. KENNETH PARSONS
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Credential | M.D.
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Telephone | 865-693-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number |
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State | IL
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