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General NPI Number Information
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NPI Number | 1376683375
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Entity Type | Organization
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Legal Business Name | BEHAVIORAL MEDICINE AND CONSULTING PC
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 04/21/2009
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Provider Practice Location Address
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Address Line | 27W350 HIGH LAKE RD
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City | WINFIELD
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State | IL
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Zip | 60190-1262
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Country | US
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Telephone | 630-933-4607
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Fax | 630-933-1933
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Provider Business Mailing Address
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Address Line | 27W350 HIGH LAKE RD
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City | WINFIELD
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State | IL
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Zip | 60190-1262
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Country | US
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Telephone | 630-933-4607
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Fax | 630-933-1933
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Authorized Official
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Title or Position | OWNER
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Name | DR. SAIMA SABAH
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Credential | MD
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Telephone | 630-933-4607
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 036102609
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License Number State | IL
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