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General NPI Number Information
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NPI Number | 1013336734
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Entity Type | Individual
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Provider Name | CECILIA ONG MD
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Gender | Female
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Dates
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Enumeration Date | 04/09/2014
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Last Update Date | 07/30/2021
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Provider Practice Location Address
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Address Line | 5841 S. MARYLAND AVE MC 1052 DEPT OF GME ROOM J-141
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City | CHICAGO
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State | IL
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Zip | 60637-1470
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Country | US
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Telephone | 773-702-6760
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Fax |
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Provider Business Mailing Address
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Address Line | 5841 S. MARYLAND AVE MC 1052 DEPT OF GME ROOM J-141
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City | CHICAGO
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State | IL
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Zip | 60637-1470
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Country | US
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Telephone |
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Fax |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 036.156949
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License Number State | IL
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