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General NPI Number Information
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NPI Number | 1306044128
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Entity Type | Organization
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Legal Business Name | BARSKY DERMATOLOGICAL ASSOCIATES CHARTERED
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Dates
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Enumeration Date | 07/03/2007
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Last Update Date | 07/17/2007
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Provider Practice Location Address
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Address Line | 120 OAK BROOK CENTER MALL #316 AND #318
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City | OAK BROOK
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State | IL
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Zip | 60523-1806
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Country | US
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Telephone | 630-571-2630
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Fax | 630-571-3781
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Provider Business Mailing Address
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Address Line | 120 OAK BROOK CENTER MALL #316 AND #318
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City | OAK BROOK
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State | IL
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Zip | 60523-1806
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Country | US
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Telephone | 630-571-2630
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Fax | 630-571-3781
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Authorized Official
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Title or Position | MD
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Name | DR. RUTH NESAVAS-BARSKY
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Credential | MD
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Telephone | 630-571-2630
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State | IL
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