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General NPI Number Information
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NPI Number | 1033480413
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Entity Type | Organization
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Legal Business Name | HEALTHWORKS INTEGRATIVE MEDICAL CLINIC
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Dates
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Enumeration Date | 01/18/2012
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Last Update Date | 01/18/2012
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Provider Practice Location Address
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Address Line | 1165 N CLARK ST STE 608
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City | CHICAGO
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State | IL
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Zip | 60610-7848
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Country | US
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Telephone | 312-255-9444
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Fax |
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Provider Business Mailing Address
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Address Line | 1165 N CLARK ST STE 608
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City | CHICAGO
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State | IL
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Zip | 60610-7848
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. DAVID ZEIGER
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Credential | D.O.
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Telephone | 312-255-9444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | 036079383
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License Number State | IL
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