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General NPI Number Information
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NPI Number | 1053489120
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Entity Type | Organization
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Legal Business Name | JOY B WEST MD SC
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 03/04/2024
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Provider Practice Location Address
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Address Line | 45 W 111TH ST
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City | CHICAGO
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State | IL
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Zip | 60628-4200
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Country | US
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Telephone | 773-995-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 6825 S CONSTANCE AVE
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City | CHICAGO
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State | IL
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Zip | 60649-1505
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Country | US
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Telephone | 773-369-5470
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JOY B WEST
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Credential | M.D.
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Telephone | 773-369-5470
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 036083447
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License Number State | IL
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