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General NPI Number Information
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NPI Number | 1356590137
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Entity Type | Organization
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Legal Business Name | TONY J NAHHAS MD SC
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Dates
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Enumeration Date | 09/16/2008
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Last Update Date | 11/10/2008
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Provider Practice Location Address
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Address Line | 6444 N CENTRAL AVE
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City | CHICAGO
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State | IL
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Zip | 60646-2935
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Country | US
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Telephone | 773-631-5858
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Fax | 773-631-5895
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Provider Business Mailing Address
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Address Line | 6444 N CENTRAL AVE
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City | CHICAGO
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State | IL
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Zip | 60646-2935
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Country | US
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Telephone | 773-631-5858
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Fax | 773-631-5895
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Authorized Official
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Title or Position | PRESIDENT
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Name | TONY J NAHHAS
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Credential | MD
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Telephone | 773-631-5858
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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 | 036088623
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License Number State | IL
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