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General NPI Number Information
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NPI Number | 1164965604
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Entity Type | Organization
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Legal Business Name | ILLINOIS HEALTH SOLUTIONS
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Dates
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Enumeration Date | 12/01/2016
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Last Update Date | 12/01/2016
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Provider Practice Location Address
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Address Line | 2500 W HIGGINS RD STE 750
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60169-7220
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Country | US
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Telephone | 847-701-5350
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Fax |
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Provider Business Mailing Address
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Address Line | 21720 W LONG GROVE RD STE C200
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City | DEER PARK
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State | IL
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Zip | 60010-3732
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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 | CEO
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Name | JAY JOSHI
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Credential | MD
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Telephone | 847-701-5350
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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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 | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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