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General NPI Number Information
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NPI Number | 1174577340
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Entity Type | Individual
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Provider Name | LEONID ZETSER MD
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Gender | Male
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 03/29/2018
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Provider Practice Location Address
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Address Line | 5145 N CALIFORNIA AVE
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City | CHICAGO
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State | IL
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Zip | 60625-3661
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Country | US
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Telephone | 773-878-8200
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Fax | 773-293-4197
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Provider Business Mailing Address
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Address Line | 2200 W HIGGINS RD STE 140
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60169-2422
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Country | US
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Telephone | 847-781-3100
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Fax | 847-781-5156
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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 | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | 036113804
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036113804
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 036113804
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License Number State | IL
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