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General NPI Number Information
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NPI Number | 1033461595
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Entity Type | Individual
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Provider Name | FRANJO SIRIC MD
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Gender | Male
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Dates
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Enumeration Date | 10/09/2012
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Last Update Date | 11/07/2023
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Provider Practice Location Address
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Address Line | 12251 S 80TH AVE STE 1520
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City | PALOS HEIGHTS
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State | IL
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Zip | 60463-1290
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Country | US
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Telephone | 708-923-4200
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Fax | 708-923-4448
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Provider Business Mailing Address
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Address Line | 12251 S 80TH AVE STE 1520
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City | PALOS HEIGHTS
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State | IL
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Zip | 60463-1290
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Country | US
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Telephone | 708-923-4200
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Fax | 708-923-4448
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | C1-0011883
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 036166695
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | C1-0011883
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License Number State | DE
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Taxonomy #4
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | C1-0011883
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License Number State | DE
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Taxonomy #5
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 57.020855
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License Number State | OH
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