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General NPI Number Information
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NPI Number | 1275842924
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Entity Type | Individual
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Provider Name | ANTONY K JOSEPH M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/29/2010
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Last Update Date | 04/26/2021
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Provider Practice Location Address
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Address Line | 1901 WEST HARRISON STREET
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City | CHICAGO
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State | IL
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Zip | 60612
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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 | 7701 QUEENS CT
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City | DOWNERS GROVE
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State | IL
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Zip | 60516-4423
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Country | US
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Telephone | 630-531-8378
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 1-250-540-75
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License Number State | IL
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