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NPI 1265298186

NPI 1265298186 : ARIA MESHKATI MD : CHICAGO, IL

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General NPI Number Information
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    NPI Number           |    1265298186
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    Entity Type          |    Individual 
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    Provider Name        |    ARIA MESHKATI MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/27/2024
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    Last Update Date     |    06/11/2025
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Provider Practice Location Address
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    Address Line         |    600 S PAULINA ST STE 403 
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    City                 |    CHICAGO
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    State                |    IL
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    Zip                  |    60612-3806
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    Country              |    US
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    Telephone            |    312-942-7100
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1430 W FILLMORE ST APT 2E 
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    City                 |    CHICAGO
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    State                |    IL
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    Zip                  |    60607-4711
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    Country              |    US
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    Telephone            |    
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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        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    208100000X
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    Taxonomy Name        |    Physical Medicine & Rehabilitation Physician
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    License Number       |    125.086078
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    License Number State |    IL
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