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General NPI Number Information
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NPI Number | 1326663022
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Entity Type | Organization
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Legal Business Name | PRISM HOLISTIC CARE LTD
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Dates
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Enumeration Date | 06/09/2020
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 33 W GRAND AVE STE 500
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City | CHICAGO
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State | IL
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Zip | 60654-6799
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Country | US
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Telephone | 800-325-1812
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Fax |
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Provider Business Mailing Address
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Address Line | 6505 N LONGMEADOW AVE
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City | LINCOLNWOOD
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State | IL
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Zip | 60712-3205
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Country | US
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Telephone | 773-391-9184
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Fax | 773-920-3322
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. MEHBUB KAPADIA
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Credential | MD
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Telephone | 773-391-9184
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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