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General NPI Number Information
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NPI Number | 1336937747
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Entity Type | Organization
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Legal Business Name | MONTE CARE GROUP INC
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Dates
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Enumeration Date | 04/26/2025
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 3011 WHITE OAK LN
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City | OAK BROOK
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State | IL
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Zip | 60523-2513
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Country | US
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Telephone | 773-744-4177
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Fax |
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Provider Business Mailing Address
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Address Line | 3011 WHITE OAK LN
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City | OAK BROOK
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State | IL
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Zip | 60523-2513
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Country | US
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Telephone | 773-744-4177
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Fax |
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Authorized Official
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Title or Position | OWNER OF ENTITY
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Name | MUTAZZ DARWEESH
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Credential | MD
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Telephone | 773-744-4177
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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 |
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License Number State |
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