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General NPI Number Information
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NPI Number | 1306895644
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Entity Type | Individual
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Provider Name | TAWFIK BARAKAT MD
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Gender | Male
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 901 GRANT ST
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City | HARVARD
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State | IL
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Zip | 60033-1821
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Country | US
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Telephone | 815-943-5431
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Fax | 815-943-0659
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Provider Business Mailing Address
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Address Line | 901 GRANT ST
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City | HARVARD
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State | IL
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Zip | 60033-1821
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Country | US
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Telephone | 815-943-5431
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Fax | 815-943-0659
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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 | 61888-20
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 036-107222
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License Number State | IL
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