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General NPI Number Information
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NPI Number | 1164530804
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Entity Type | Individual
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Provider Name | DARREN ROSS GITELMAN MD
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Gender | Male
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 1875 DEMPSTER ST STE 520
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City | PARK RIDGE
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State | IL
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Zip | 60068-1130
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Country | US
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Telephone | 847-720-6464
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Fax | 847-720-6463
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Provider Business Mailing Address
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Address Line | 29373 NETWORK PL
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City | CHICAGO
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State | IL
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Zip | 60673-1293
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 4979
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 2084B0040X
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Taxonomy Name | Behavioral Neurology & Neuropsychiatry Physician
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License Number | 036-088638
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 2084B0040X
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Taxonomy Name | Behavioral Neurology & Neuropsychiatry Physician
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License Number | 4979
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 036-088638
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License Number State | IL
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