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General NPI Number Information
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NPI Number | 1174646285
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Entity Type | Organization
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Legal Business Name | NORTHWEST MEDICAL CLINIC SC
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 05/26/2015
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Provider Practice Location Address
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Address Line | 1614 W CENTRAL RD SUITE 209
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60005-2490
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Country | US
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Telephone | 847-259-8777
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Fax |
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Provider Business Mailing Address
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Address Line | 1614 W CENTRAL RD SUITE 209
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City | ARLINGTON HTS
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State | IL
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Zip | 60005-2490
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Country | US
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Telephone | 847-259-8777
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SATISH N PATEL
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Credential | MD
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Telephone | 847-259-8777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 042617076
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | 042617076
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 036126253
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License Number State | IL
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