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General NPI Number Information
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NPI Number | 1013700541
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Entity Type | Organization
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Legal Business Name | HANSAMSSP LLC
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Dates
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Enumeration Date | 05/27/2025
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 5250 OLD ORCHARD RD STE 300
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City | SKOKIE
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State | IL
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Zip | 60077-4462
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Country | US
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Telephone | 312-933-5719
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Fax | 888-664-1191
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Provider Business Mailing Address
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Address Line | 5250 OLD ORCHARD RD STE 300
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City | SKOKIE
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State | IL
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Zip | 60077-4462
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Country | US
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Telephone | 312-933-5719
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Fax | 888-664-1191
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Authorized Official
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Title or Position | MANAGER
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Name | DR. CHIRAG PATEL
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Credential |
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Telephone | 312-933-5719
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |
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