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General NPI Number Information
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NPI Number | 1306356779
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Entity Type | Organization
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Legal Business Name | BEY MEDICAL GROUP LLC
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Dates
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Enumeration Date | 10/11/2017
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Last Update Date | 10/11/2017
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Provider Practice Location Address
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Address Line | 505 N LAKE SHORE DR
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City | CHICAGO
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State | IL
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Zip | 60611-3427
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Country | US
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Telephone | 312-550-0585
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Fax |
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Provider Business Mailing Address
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Address Line | 440 WOODSIDE AVE
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City | HINSDALE
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State | IL
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Zip | 60521-4648
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Country | US
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Telephone | 312-550-0585
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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. BEN E YERLIOGLU
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Credential | MD
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Telephone | 312-550-5798
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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 | 036.127144
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License Number State | IL
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