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General NPI Number Information
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NPI Number | 1205941127
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Entity Type | Individual
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Provider Name | SEONG CHIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 12/04/2008
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Provider Practice Location Address
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Address Line | 1255 MILWAUKEE AVE
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City | GLENVIEW
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State | IL
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Zip | 60025-2425
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Country | US
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Telephone | 847-294-5490
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Fax | 847-294-5496
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Provider Business Mailing Address
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Address Line | 1255 MILWAUKEE AVE
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City | GLENVIEW
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State | IL
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Zip | 60025-2425
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Country | US
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Telephone | 847-294-5490
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Fax | 847-294-5496
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 036112303
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 036112303
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License Number State | IL
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