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General NPI Number Information
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NPI Number | 1033224613
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Entity Type | Organization
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Legal Business Name | CENTER FOR FAMILY AND GERIATRIC MEDICINE, S.C.
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2010 S ARLINGTON HEIGHTS RD SUITE #225
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60005-4134
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Country | US
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Telephone | 847-439-2200
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Fax | 847-439-8687
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Provider Business Mailing Address
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Address Line | 2 PAULINE CIR
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City | SCHAUMBURG
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State | IL
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Zip | 60173-6557
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Country | US
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Telephone | 847-413-0208
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Fax | 847-413-0209
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL EUGENE LIM
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Credential | M.D.
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Telephone | 847-439-2200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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