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General NPI Number Information
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NPI Number | 1114699667
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE MEDICAL CARE ASSOCIATES LLC
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Dates
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Enumeration Date | 10/04/2021
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Last Update Date | 05/18/2023
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Provider Practice Location Address
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Address Line | 1263 S. HIGHLAND AVENUE SUITE 1E
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City | LOMBARD
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State | IL
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Zip | 60148-4572
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Country | US
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Telephone | 630-261-0280
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Fax | 630-261-0304
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Provider Business Mailing Address
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Address Line | P.O. BOX 528
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City | HINSDALE
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State | IL
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Zip | 60522-0528
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Country | US
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Telephone | 630-261-0280
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Fax | 630-261-0304
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Authorized Official
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Title or Position | OWNER
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Name | JOHN GREAGER
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Credential | MD
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Telephone | 630-261-0280
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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