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General NPI Number Information
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NPI Number | 1043490485
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Entity Type | Organization
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Legal Business Name | SUSANA C LAPID MDSC
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Dates
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Enumeration Date | 11/13/2007
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Last Update Date | 02/14/2013
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Provider Practice Location Address
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Address Line | 380 E NORTHWEST HWY 3RD FLOOR
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City | DES PLAINES
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State | IL
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Zip | 60016-2290
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Country | US
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Telephone | 847-296-4447
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Fax | 847-398-4779
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Provider Business Mailing Address
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Address Line | 380 E NORTHWEST HWY 3RD FLOOR
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City | DES PLAINES
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State | IL
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Zip | 60016-2290
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Country | US
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Telephone | 847-296-4447
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Fax | 847-398-4779
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Authorized Official
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Title or Position | PRESIDENT
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Name | SUSANA LAPID
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Credential | M.D.
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Telephone | 847-296-4447
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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 | 036086867
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License Number State | IL
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