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General NPI Number Information
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NPI Number | 1265378012
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Entity Type | Organization
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Legal Business Name | NILES CARE CENTER PLLC
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Dates
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Enumeration Date | 04/24/2026
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Last Update Date | 04/24/2026
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Provider Practice Location Address
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Address Line | 8565 W DEMPSTER ST
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City | NILES
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State | IL
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Zip | 60714-1401
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Country | US
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Telephone | 847-299-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 8565 W DEMPSTER ST
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City | NILES
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State | IL
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Zip | 60714-1401
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Country | US
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Telephone | 847-299-7000
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. PETER SLAVIN
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Credential | DC
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Telephone | 847-299-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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