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General NPI Number Information
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NPI Number | 1346245610
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Entity Type | Organization
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Legal Business Name | SUBURBAN CARDIOLOGISTS, S.C.
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Dates
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Enumeration Date | 06/14/2005
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Last Update Date | 02/09/2010
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Provider Practice Location Address
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Address Line | 333 CHESTNUT ST STE 101
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City | HINSDALE
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State | IL
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Zip | 60521-3248
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Country | US
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Telephone | 630-325-9010
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Fax | 630-325-9023
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Provider Business Mailing Address
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Address Line | 333 CHESTNUT ST STE 101
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City | HINSDALE
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State | IL
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Zip | 60521-3248
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Country | US
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Telephone | 630-325-9010
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Fax | 630-325-9023
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALAN L. MILLER
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Credential |
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Telephone | 630-325-9010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 042003338
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License Number State | IL
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