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General NPI Number Information
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NPI Number | 1326213471
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Entity Type | Organization
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Legal Business Name | ABDUL SATTAR MD SC
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Dates
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Enumeration Date | 04/29/2008
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Last Update Date | 05/16/2011
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Provider Practice Location Address
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Address Line | 4646 N MARINE DR STE #C6500
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City | CHICAGO
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State | IL
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Zip | 60640-5759
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Country | US
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Telephone | 773-728-4655
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Fax | 773-728-1176
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Provider Business Mailing Address
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Address Line | 4646 N MARINE DR STE #C6500
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City | CHICAGO
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State | IL
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Zip | 60640-5759
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Country | US
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Telephone | 773-728-4655
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Fax | 773-728-1176
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ABDUL SATTAR
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Credential | MD
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Telephone | 773-728-4655
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036045353
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License Number State | IL
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