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General NPI Number Information
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NPI Number | 1124146535
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Entity Type | Organization
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Legal Business Name | PERRY L. KAMEL, M.D., S.C.
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 06/20/2024
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Provider Practice Location Address
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Address Line | 259 E ERIE ST STE 1600
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City | CHICAGO
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State | IL
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Zip | 60611-3111
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Country | US
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Telephone | 312-573-9626
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Fax | 312-573-9636
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Provider Business Mailing Address
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Address Line | 1944 N MAUD AVE
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City | CHICAGO
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State | IL
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Zip | 60614-4908
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Country | US
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Telephone | 312-573-9626
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Fax | 312-573-9636
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PERRY L. KAMEL
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Credential | M.D.
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Telephone | 312-573-9626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 042616682
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License Number State | IL
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