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General NPI Number Information
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NPI Number | 1164745832
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Entity Type | Organization
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Legal Business Name | CHICAGO CARDIOVASCULAR CONSULTANTS, SC
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Dates
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Enumeration Date | 03/09/2010
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Last Update Date | 03/09/2010
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Provider Practice Location Address
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Address Line | 2315 E 93RD ST SUITE 237
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City | CHICAGO
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State | IL
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Zip | 60617-3936
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Country | US
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Telephone | 773-734-9200
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Fax | 773-734-9201
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Provider Business Mailing Address
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Address Line | 106 KRAML DR
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City | BURR RIDGE
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State | IL
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Zip | 60527-0302
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Country | US
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Telephone | 773-734-9200
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Fax | 773-734-9201
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. AKHTAR PARVAIZ
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Credential |
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Telephone | 773-734-9200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 01048363B
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 036087645
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License Number State | IL
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