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General NPI Number Information
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NPI Number | 1154448132
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Entity Type | Organization
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Legal Business Name | FAMILY PLANNING MANAGEMENT INC.
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5086 N ELSTON AVE
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City | CHICAGO
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State | IL
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Zip | 60630-2427
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Country | US
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Telephone | 773-725-0200
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Fax | 773-725-0200
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Provider Business Mailing Address
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Address Line | 5086 N ELSTON AVE
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City | CHICAGO
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State | IL
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Zip | 60630-2427
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Country | US
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Telephone | 773-725-0200
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Fax | 773-725-0200
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. DIANA MARACICH
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Credential | NONE
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Telephone | 773-725-0200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 7000789
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License Number State | IL
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