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General NPI Number Information
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NPI Number | 1174785547
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Entity Type | Organization
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Legal Business Name | ABSOLUTE MEDICAL CARE LTD
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Dates
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Enumeration Date | 06/27/2008
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Last Update Date | 10/13/2010
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Provider Practice Location Address
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Address Line | 20637 W RENWICK RD
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City | CREST HILL
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State | IL
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Zip | 60403-9200
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Country | US
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Telephone | 815-838-9505
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Fax | 815-838-9506
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Provider Business Mailing Address
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Address Line | 20637 W RENWICK RD
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City | CREST HILL
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State | IL
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Zip | 60403-9200
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Country | US
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Telephone | 815-838-9505
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Fax | 815-838-9506
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Authorized Official
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Title or Position | OWNER PODIATRIST
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Name | DR. ZINOVIY RABINOVICH
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Credential | DPM
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Telephone | 815-838-9505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 016005115
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License Number State | IL
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