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General NPI Number Information
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NPI Number | 1114051208
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Entity Type | Organization
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Legal Business Name | PROGRESSIVE MEDICINE, LTD.
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 08/04/2012
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Provider Practice Location Address
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Address Line | 110 W PARK AVE STE. C
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City | ELMHURST
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State | IL
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Zip | 60126-6201
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Country | US
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Telephone | 630-359-5483
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Fax | 630-359-5624
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Provider Business Mailing Address
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Address Line | 110 W PARK AVE STE. C
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City | ELMHURST
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State | IL
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Zip | 60126-6201
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Country | US
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Telephone | 630-359-5483
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Fax | 630-359-5624
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Authorized Official
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Title or Position | PRESIDENTPHYSICIAN
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Name | DR. BRIAN CHARLES KARWOWSKI
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Credential | D.C.
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Telephone | 630-359-5483
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 042618420
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License Number State | IL
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