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General NPI Number Information
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NPI Number | 1144031360
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Entity Type | Organization
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Legal Business Name | ALL IN ONE URGENT CARE PLLC
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Dates
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Enumeration Date | 01/16/2025
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 8707 RIDGELAND AVE
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City | OAK LAWN
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State | IL
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Zip | 60453-1001
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Country | US
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Telephone | 708-682-6477
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Fax |
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Provider Business Mailing Address
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Address Line | 8801 CRANBROOK LN
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City | BRIDGEVIEW
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State | IL
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Zip | 60455-2009
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Country | US
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Telephone | 708-682-6477
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NAHAWAND H KISHTA
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Credential | APRN
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Telephone | 708-682-6477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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