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General NPI Number Information
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NPI Number | 1093844169
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Entity Type | Organization
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Legal Business Name | INTERACTIVE PHYSICIANS LTD
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 04/15/2008
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Provider Practice Location Address
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Address Line | 2150 WEST MCLEAN AVE #1E
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City | CHICAGO
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State | IL
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Zip | 60647-5628
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Country | US
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Telephone | 312-493-3114
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Fax | 866-904-2944
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Provider Business Mailing Address
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Address Line | 2150 W MCLEAN AVE SUITE 1E
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City | CHICAGO
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State | IL
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Zip | 60647
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Country | US
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Telephone | 312-493-3114
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Fax | 866-904-2944
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Authorized Official
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Title or Position | OWNER
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Name | DR. PARAS PAREKH
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Credential | D.P.M.
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Telephone | 312-493-3114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 16004998
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License Number State | IL
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