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General NPI Number Information
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NPI Number | 1346656279
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Entity Type | Organization
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Legal Business Name | PLANNED PARENTHOOD OF ILLINOIS
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Dates
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Enumeration Date | 07/11/2014
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Last Update Date | 07/11/2014
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Provider Practice Location Address
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Address Line | 328 S 4TH STREET
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City | PEKIN
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State | IL
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Zip | 61554-6804
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Country | US
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Telephone | 309-347-1274
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Fax | 309-347-6283
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Provider Business Mailing Address
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Address Line | 18 S. MICHIGAN AVE 6TH FLOOR
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City | CHICAGO
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State | IL
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Zip | 60603
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Country | US
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Telephone | 312-592-6800
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Fax | 312-592-6801
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MR. ANTHONY FIORE
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Credential | CPA, MBA
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Telephone | 312-592-6808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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