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General NPI Number Information
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NPI Number | 1154350353
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Entity Type | Organization
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Legal Business Name | PARKVIEW ORTHOPAEDIC GROUP S C
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Dates
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Enumeration Date | 07/01/2006
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 7600 W COLLEGE DR
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City | PALOS HEIGHTS
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State | IL
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Zip | 60463-1001
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Country | US
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Telephone | 708-361-0600
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Fax | 708-923-2529
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Provider Business Mailing Address
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Address Line | 7600 W COLLEGE DR
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City | PALOS HEIGHTS
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State | IL
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Zip | 60463-1001
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Country | US
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Telephone | 708-361-0600
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Fax | 708-923-2529
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Authorized Official
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Title or Position | REVENUE CYCLE MANAGER
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Name | MRS. MARIA FLAMBURIS
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Credential |
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Telephone | 708-923-2572
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0004X
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Taxonomy Name | Orthopaedic Foot and Ankle Surgery Physician
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License Number | 036095475
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 42000080
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License Number State | IL
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