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General NPI Number Information
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NPI Number | 1033768619
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Entity Type | Organization
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Legal Business Name | ILIC RENAL AND HYPERTENSION ASSOCIATES, P.A.
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Dates
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Enumeration Date | 09/06/2019
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Last Update Date | 06/15/2023
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Provider Practice Location Address
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Address Line | 3825 E DEVONSHIRE CT
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City | BLOOMINGTON
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State | IN
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Zip | 47408-9699
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Country | US
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Telephone | 812-837-3223
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Fax |
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Provider Business Mailing Address
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Address Line | 3825 E DEVONSHIRE CT
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City | BLOOMINGTON
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State | IN
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Zip | 47408-9699
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Country | US
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Telephone | 812-837-3223
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LJUBOMIR ILIC
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Credential | MD
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Telephone | 812-837-3515
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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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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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