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General NPI Number Information
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NPI Number | 1326069949
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Entity Type | Organization
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Legal Business Name | WOMENS HEALTHCARE PARTNERS OF ILLINOIS
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 09/05/2012
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Provider Practice Location Address
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Address Line | 1300 STARFIRE DR SUITE B
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City | OTTAWA
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State | IL
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Zip | 61350-1624
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Country | US
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Telephone | 815-434-2229
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Fax | 815-434-4229
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Provider Business Mailing Address
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Address Line | 1300 STARFIRE DR SUITE B
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City | OTTAWA
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State | IL
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Zip | 61350-1624
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Country | US
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Telephone | 815-434-2229
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Fax | 815-434-4229
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Authorized Official
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Title or Position | CO-OWNER
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Name | DR. JAMIL R ABDUR-RAHMAN
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Credential | MD
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Telephone | 815-434-2229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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