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General NPI Number Information
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NPI Number | 1104022250
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Entity Type | Organization
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Legal Business Name | ADVOCATE CHRIST HOSPITAL
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Dates
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Enumeration Date | 06/25/2007
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Last Update Date | 06/16/2008
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Provider Practice Location Address
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Address Line | 4440 W 95TH ST
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City | OAK LAWN
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State | IL
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Zip | 60453-2600
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Country | US
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Telephone | 708-684-5673
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Fax |
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Provider Business Mailing Address
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Address Line | 10737 S KEATING AVE APT 108
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City | OAK LAWN
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State | IL
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Zip | 60453-5430
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | RESIDENT
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Name | MUHAMMAD AHMAR SIDDIQUI
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Credential | M.D
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Telephone | 512-423-5765
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |
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