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General NPI Number Information
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NPI Number | 1366252348
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Entity Type | Organization
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Legal Business Name | DOCTORES DE ACCIDENTES, SC
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Dates
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Enumeration Date | 01/10/2025
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 1923 W IRVING PARK RD
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City | CHICAGO
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State | IL
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Zip | 60613-2407
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Country | US
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Telephone | 773-880-0880
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Fax |
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Provider Business Mailing Address
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Address Line | 6933 NORTH AVE
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City | OAK PARK
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State | IL
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Zip | 60302-1024
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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 | PRESIDENT
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Name | RYAN ROSENTHAL
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Credential | DC
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Telephone | 312-933-4149
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number |
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License Number State |
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