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General NPI Number Information
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NPI Number | 1285605675
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Entity Type | Organization
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Legal Business Name | MIDWEST FAMILY MEDICINE
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Dates
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Enumeration Date | 02/01/2006
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Last Update Date | 02/24/2012
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Provider Practice Location Address
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Address Line | 170 S BLOOMINGDALE RD SUITE 200
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City | BLOOMINGDALE
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State | IL
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Zip | 60108-1470
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Country | US
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Telephone | 630-351-1027
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Fax | 630-351-1190
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Provider Business Mailing Address
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Address Line | 170 S BLOOMINGDALE RD SUITE 200
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City | BLOOMINGDALE
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State | IL
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Zip | 60108-1470
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Country | US
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Telephone | 630-351-1027
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Fax | 630-351-1190
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Authorized Official
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Title or Position | DR., OWNER
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Name | DR. EYAD HOMEDI
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Credential | M.D.
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Telephone | 630-351-1027
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0005X
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Taxonomy Name | Ambulatory Family Planning Facility
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License Number |
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License Number State |
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