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General NPI Number Information
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NPI Number | 1013634245
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Entity Type | Organization
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Legal Business Name | WINDY CITY HEALTH PARTNERS PLLC
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Dates
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Enumeration Date | 10/27/2022
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Last Update Date | 10/27/2022
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Provider Practice Location Address
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Address Line | 2001 W ADDISON ST
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City | CHICAGO
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State | IL
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Zip | 60618-6132
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Country | US
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Telephone | 773-796-2280
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Fax |
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Provider Business Mailing Address
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Address Line | 4103 N CLAREMONT AVE
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City | CHICAGO
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State | IL
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Zip | 60618-2919
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Country | US
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Telephone | 773-266-9747
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Fax |
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Authorized Official
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Title or Position | MD
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Name | JOSHUA MEROK
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Credential | MD
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Telephone | 773-266-9747
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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 |
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License Number State |
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