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General NPI Number Information
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NPI Number | 1124134622
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Entity Type | Organization
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Legal Business Name | BISKUP & SEGUI PEDIATRIC PARTNERS, P.C.
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 09/17/2020
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Provider Practice Location Address
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Address Line | 20325 S GRACELAND LN
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City | FRANKFORT
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State | IL
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Zip | 60423-9047
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Country | US
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Telephone | 815-469-8700
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Fax |
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Provider Business Mailing Address
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Address Line | 20325 S GRACELAND LN
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City | FRANKFORT
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State | IL
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Zip | 60423-9047
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Country | US
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Telephone | 815-469-8700
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NICOLE A BISKUP
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Credential | M.D.
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Telephone | 815-469-8700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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