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General NPI Number Information
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NPI Number | 1316118110
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Entity Type | Organization
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Legal Business Name | TEJVIR NANDA MD SC
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Dates
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Enumeration Date | 03/19/2008
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Last Update Date | 03/19/2008
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Provider Practice Location Address
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Address Line | 30 S MICHIGAN AVE SUITE 500
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City | CHICAGO
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State | IL
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Zip | 60603-3211
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Country | US
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Telephone | 312-263-0099
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Fax | 312-977-1188
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Provider Business Mailing Address
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Address Line | 903 COMMERCE DR SUITE 333
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City | OAK BROOK
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State | IL
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Zip | 60523-1969
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Country | US
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Telephone | 630-571-6770
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Fax | 630-571-8810
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Authorized Official
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Title or Position | PRESIDENT
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Name | TEJVIR S. NANDA
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Credential | MD
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Telephone | 312-263-0099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State | IL
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