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General NPI Number Information
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NPI Number | 1134241383
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Entity Type | Organization
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Legal Business Name | EP CONSULTATION, LTD
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 08/15/2022
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Provider Practice Location Address
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Address Line | MARC OVADIA M.D. ASCENSION ST. ALEXIUS HOSPITAL 1555 NORTH BARRINGTON ROAD/ DOCTORS' BUILDING 3
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60169
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Country | US
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Telephone | 773-612-4184
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Fax | 847-692-6755
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Provider Business Mailing Address
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Address Line | 1875 DEMPSTER STREET SUITE 605
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City | PARK RIDGE
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State | IL
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Zip | 60068
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Country | US
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Telephone | 847-823-0843
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Fax | 847-692-6755
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | DR. MARC OVADIA
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Credential | MD
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Telephone | 773-612-4184
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number | 036103080
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License Number State | IL
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