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General NPI Number Information
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NPI Number | 1033356142
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Entity Type | Organization
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Legal Business Name | FIRST AMERICAN MEDICAL GROUP LTD.
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Dates
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Enumeration Date | 01/12/2009
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Last Update Date | 01/12/2009
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Provider Practice Location Address
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Address Line | 7524 103RD ST
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City | BRIDGEVIEW
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State | IL
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Zip | 60455-2400
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Country | US
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Telephone | 708-599-1001
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Fax | 708-599-0922
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Provider Business Mailing Address
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Address Line | 7524 103RD ST
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City | BRIDGEVIEW
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State | IL
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Zip | 60455-2400
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Country | US
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Telephone | 708-599-1001
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Fax | 708-599-0922
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Authorized Official
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Title or Position | OWNER
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Name | DR. ALI RAMADAN
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Credential | M.D.
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Telephone | 708-599-1001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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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 | 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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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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