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General NPI Number Information
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NPI Number | 1376616789
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Entity Type | Organization
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Legal Business Name | LAKE ZURICH PHYSICAL MEDICINE, SC
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 450 S RAND RD
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City | LAKE ZURICH
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State | IL
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Zip | 60047-2359
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Country | US
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Telephone | 847-438-3899
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Fax | 847-438-5459
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Provider Business Mailing Address
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Address Line | 450 S RAND RD
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City | LAKE ZURICH
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State | IL
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Zip | 60047-2359
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Country | US
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Telephone | 847-438-3899
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Fax | 847-438-5459
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Authorized Official
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Title or Position | OWNER
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Name | DR. PATRICK JOSEPH MORRIS
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Credential | D.C.
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Telephone | 847-438-3899
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State | IL
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