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General NPI Number Information
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NPI Number | 1154914299
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Entity Type | Organization
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Legal Business Name | VIRTUAL PHYSICIAN ASSOCIATES, LTD.
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Dates
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Enumeration Date | 02/19/2021
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Last Update Date | 10/31/2023
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Provider Practice Location Address
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Address Line | 1000 ESSINGTON RD
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City | JOLIET
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State | IL
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Zip | 60435-2841
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Country | US
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Telephone | 312-809-9953
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 ESSINGTON RD
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City | JOLIET
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State | IL
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Zip | 60435-2841
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Country | US
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Telephone | 312-809-9953
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Fax |
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Authorized Official
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Title or Position | GENERAL COUNSEL
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Name | MRS. MIRIAM SCHNEIDE
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Credential |
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Telephone | 847-863-2788
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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