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General NPI Number Information
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NPI Number | 1235156266
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Entity Type | Individual
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Provider Name | VICTOR MANUEL PELAEZ MD
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Gender | Male
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Dates
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Enumeration Date | 07/16/2006
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Last Update Date | 04/28/2021
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Provider Practice Location Address
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Address Line | 1901 W HARRISON ST JOHN H STROGER ,JR. HOSPITAL OF COKK COUNTY
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City | CHICAGO
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State | IL
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Zip | 60612-3714
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Country | US
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Telephone | 312-864-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 903 S ASHLAND AVE APT 101
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City | CHICAGO
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State | IL
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Zip | 60607-4002
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Country | US
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Telephone | 312-850-1817
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Fax |
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 036-106330
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 36106330
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License Number State | IL
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