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General NPI Number Information
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NPI Number | 1346486735
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Entity Type | Organization
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Legal Business Name | SENNOGROUP, SC
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Dates
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Enumeration Date | 01/06/2009
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Last Update Date | 01/16/2014
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Provider Practice Location Address
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Address Line | 1535 LAKE COOK RD SUITE 208
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City | NORTHBROOK
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State | IL
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Zip | 60062-1447
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Country | US
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Telephone | 847-644-8242
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Fax | 847-272-8221
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Provider Business Mailing Address
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Address Line | 1535 LAKE COOK RD SUITE 208
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City | NORTHBROOK
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State | IL
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Zip | 60062-1447
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Country | US
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Telephone | 847-644-8242
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Fax | 847-272-8221
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICARDO G. SENNO
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Credential | MD
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Telephone | 847-644-8242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 036-099306
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License Number State | IL
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