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General NPI Number Information
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NPI Number | 1063509172
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Entity Type | Individual
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Provider Name | RICHARD D'AQUILA MD
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Gender | Male
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Dates
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Enumeration Date | 10/09/2006
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Last Update Date | 04/16/2015
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Provider Practice Location Address
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Address Line | 676 N. ST. CLAIR ARKES 940
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City | CHICAGO
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State | IL
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Zip | 60611-3015
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Country | US
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Telephone | 312-503-4876
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Fax | 312-908-2528
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Provider Business Mailing Address
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Address Line | 303 E. SUPERIOR ST, LURIE 9-159
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City | CHICAGO
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State | IL
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Zip | 60611-3015
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Country | US
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Telephone | 312-503-4876
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Fax | 312-908-2528
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 036131161
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License Number State | IL
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