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General NPI Number Information
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NPI Number | 1265667158
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Entity Type | Organization
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Legal Business Name | WILLIAM MARKEY MD,SC
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Dates
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Enumeration Date | 05/20/2009
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Last Update Date | 05/20/2009
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Provider Practice Location Address
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Address Line | 3000 N HALSTED ST STE 506
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City | CHICAGO
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State | IL
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Zip | 60657-5194
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Country | US
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Telephone | 312-944-2188
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 146530
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City | CHICAGO
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State | IL
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Zip | 60614-6400
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Country | US
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Telephone | 312-944-2188
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLAIM SIMON MARKEY
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Credential | M.D.
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Telephone | 312-944-2188
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 036046023
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License Number State | IL
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