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General NPI Number Information
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NPI Number | 1073623872
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Entity Type | Organization
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Legal Business Name | NORTHWEST RHEUMATOLOGY SPECIALISTS, S.C.
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 02/15/2026
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Provider Practice Location Address
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Address Line | 800 W BIESTERFIELD RD STE 4003
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City | ELK GROVE VILLAGE
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State | IL
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Zip | 60007-7306
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Country | US
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Telephone | 847-364-0800
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Fax | 847-364-0854
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Provider Business Mailing Address
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Address Line | 800 BIESTERFIELD RD STE 4003
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City | ELK GROVE VILLAGE
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State | IL
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Zip | 60007-3371
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Country | US
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Telephone | 847-364-0800
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Fax | 847-364-0808
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Authorized Official
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Title or Position | PHYSICIAN PARTNER
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Name | BRUCE JOHNSON
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Credential | MD
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Telephone | 847-364-0800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 036053094
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 036078438
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 036085718
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License Number State | IL
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