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General NPI Number Information
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NPI Number | 1205705258
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Entity Type | Organization
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Legal Business Name | NEUGENIX LLC
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Dates
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Enumeration Date | 10/29/2025
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 3S721 WEST AVE STE 500
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City | WARRENVILLE
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State | IL
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Zip | 60555-3260
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Country | US
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Telephone | 312-758-0972
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Fax |
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Provider Business Mailing Address
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Address Line | 3S721 WEST AVE STE 500
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City | WARRENVILLE
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State | IL
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Zip | 60555-3260
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Country | US
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Telephone | 312-758-0972
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAGHU GUTTIKONDA
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Credential |
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Telephone | 312-758-0972
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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