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General NPI Number Information
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NPI Number | 1093858953
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Entity Type | Organization
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Legal Business Name | VIRENDRA S. BISLA, MD, LTD
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 03/24/2009
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Provider Practice Location Address
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Address Line | 9011 S COMMERCIAL AVE
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City | CHICAGO
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State | IL
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Zip | 60617-4304
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Country | US
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Telephone | 773-933-0700
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Fax |
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Provider Business Mailing Address
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Address Line | 541 OTIS BOWEN DR
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City | MUNSTER
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State | IN
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Zip | 46321-4158
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Country | US
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Telephone | 219-934-5300
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Fax | 219-934-5389
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Authorized Official
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Title or Position | PRESIDENT
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Name | VIRENDRA BISLA
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Credential | MD
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Telephone | 773-933-0700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number |
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State | IL
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