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General NPI Number Information
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NPI Number | 1073799771
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Entity Type | Organization
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Legal Business Name | HEALTHWORKS INTEGRATIVE MEDICAL CLINIC
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Dates
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Enumeration Date | 01/14/2008
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Last Update Date | 01/14/2008
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Provider Practice Location Address
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Address Line | 1165 N CLARK ST SUITE 608
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City | CHICAGO
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State | IL
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Zip | 60610-2702
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Country | US
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Telephone | 312-255-9444
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Fax | 312-255-9446
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Provider Business Mailing Address
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Address Line | 1165 N CLARK ST SUITE 608
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City | CHICAGO
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State | IL
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Zip | 60610-2702
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Country | US
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Telephone | 312-255-9444
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Fax | 312-255-9446
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. DAVID J. ZEIGER
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Credential | D.O.
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Telephone | 312-255-9444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 336-042392
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License Number State | IL
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