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General NPI Number Information
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NPI Number | 1346055365
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Entity Type | Organization
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Legal Business Name | EXCLUSIVE PHYSICIANS - ILLINOIS PLLC
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Dates
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Enumeration Date | 02/07/2025
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 3000 N CICERO AVE
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City | CHICAGO
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State | IL
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Zip | 60641-5106
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Country | US
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Telephone | 248-336-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 18000 W 9 MILE RD STE 200
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City | SOUTHFIELD
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State | MI
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Zip | 48075-4020
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | RCM
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Name | NILLIAN SHAOUNI
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Credential |
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Telephone | 248-336-4000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RA0000X
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Taxonomy Name | Adolescent Medicine (Internal Medicine) Physician
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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 | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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