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General NPI Number Information
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NPI Number | 1053067421
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Entity Type | Organization
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Legal Business Name | UNITED MEDICAL HEALTH
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Dates
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Enumeration Date | 02/24/2022
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Last Update Date | 02/24/2022
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Provider Practice Location Address
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Address Line | 2525 S MICHIGAN AVE
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City | CHICAGO
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State | IL
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Zip | 60616-2315
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Country | US
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Telephone | 312-709-5966
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Fax |
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Provider Business Mailing Address
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Address Line | 1 WASHINGTON CT
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City | PLAINFIELD
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State | IL
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Zip | 60544-9309
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Country | US
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Telephone | 312-709-5966
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | NORA AIT BOUCHERBIL
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Credential |
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Telephone | 312-709-5966
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State |
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