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General NPI Number Information
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NPI Number | 1013164391
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Entity Type | Individual
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Provider Name | RIDHA CHAKEER M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/19/2008
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Last Update Date | 07/16/2021
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Provider Practice Location Address
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Address Line | 3825 HIGHLAND AVE STE 2B
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-1548
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Country | US
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Telephone | 630-445-1022
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Fax | 630-559-7377
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Provider Business Mailing Address
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Address Line | 9051 WILLOW RIDGE DR
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City | WILLOW SPRINGS
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State | IL
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Zip | 60480-1185
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Country | US
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Telephone | 630-445-1022
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Fax | 630-559-7377
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036126750
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License Number State | IL
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