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General NPI Number Information
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NPI Number | 1053998393
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Entity Type | Organization
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Legal Business Name | AROGYA MEDICAL GROUP SC
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Dates
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Enumeration Date | 03/24/2021
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 12 SALT CREEK LN STE 105
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City | HINSDALE
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State | IL
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Zip | 60521-8607
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Country | US
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Telephone | 312-676-6468
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Fax |
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Provider Business Mailing Address
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Address Line | 1011 E TOUHY AVE STE 350
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City | DES PLAINES
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State | IL
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Zip | 60018-5829
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Country | US
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Telephone | 312-676-6468
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Fax |
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | LIZETH GOROSTIETA
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Credential |
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Telephone | 630-935-9761
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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 |
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License Number State |
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