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General NPI Number Information
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NPI Number | 1124224597
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Entity Type | Organization
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Legal Business Name | HEALTH CHOICE MEDICAL CENTER LTD
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Dates
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Enumeration Date | 06/22/2007
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Last Update Date | 07/15/2007
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Provider Practice Location Address
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Address Line | 9933 LAWLER AVE
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City | SKOKIE
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State | IL
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Zip | 60077-3703
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Country | US
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Telephone | 847-677-9999
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Fax | 847-677-9955
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Provider Business Mailing Address
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Address Line | 9933 LAWLER AVE
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City | SKOKIE
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State | IL
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Zip | 60077-3703
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Country | US
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Telephone | 847-677-9999
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Fax | 847-677-9955
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HOWARD RUBIN
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Credential | MD
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Telephone | 847-677-9999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State | IL
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