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General NPI Number Information
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NPI Number | 1083496525
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Entity Type | Individual
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Provider Name | DR. MARWAN ALKASSIS
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Gender | Male
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Dates
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Enumeration Date | 10/18/2023
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Last Update Date | 07/13/2025
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Provider Practice Location Address
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Address Line | 1130 S MICHIGAN AVE APT 3414
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City | CHICAGO
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State | IL
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Zip | 60605-2323
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Country | US
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Telephone | 872-335-8585
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Fax |
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Provider Business Mailing Address
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Address Line | 4 ALLEE DES FEUILLANTINES BATIMENT B CHEZ JAD ALKASSIS
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City | VILLEJUIF
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State | ILE DE FRANCE
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Zip | 94800
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Country | FR
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Telephone |
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Fax |
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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 | 2088F0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
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License Number | 125083060
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 125083060
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License Number State | IL
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