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General NPI Number Information
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NPI Number | 1043588395
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Entity Type | Organization
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Legal Business Name | DR THOMAS J. SINGEL II,SC
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Dates
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Enumeration Date | 12/01/2011
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Last Update Date | 12/01/2011
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Provider Practice Location Address
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Address Line | 1809 SHERIDAN RD
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City | NORTH CHICAGO
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State | IL
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Zip | 60064-2235
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Country | US
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Telephone | 847-858-2544
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Fax | 847-735-9553
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Provider Business Mailing Address
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Address Line | 1809 SHERIDAN RD
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City | NORTH CHICAGO
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State | IL
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Zip | 60064-2235
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Country | US
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Telephone | 847-858-2544
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Fax | 847-735-9553
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. THOMAS J. SINGEL II
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Credential | D.O.
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Telephone | 847-858-2544
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036088528
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License Number State | IL
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