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General NPI Number Information
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NPI Number | 1134179450
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Entity Type | Individual
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Provider Name | ASIF ANWAR MD
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Gender | Male
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 330 MADISON ST STE 103
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City | JOLIET
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State | IL
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Zip | 60435-6572
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Country | US
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Telephone | 630-871-6699
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Fax | 630-348-3323
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Provider Business Mailing Address
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Address Line | POB 7132960
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City | CHICAGO
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State | IL
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Zip | 60677-0001
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Country | US
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Telephone | 630-469-9200
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 036119110
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | ME129527
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 036119110
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License Number State | IL
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