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General NPI Number Information
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NPI Number | 1386152395
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Entity Type | Organization
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Legal Business Name | RJM WELLNESS CORP
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Dates
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Enumeration Date | 01/12/2018
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Last Update Date | 06/14/2024
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Provider Practice Location Address
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Address Line | 45 W 111TH ST
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City | CHICAGO
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State | IL
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Zip | 60628-4200
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Country | US
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Telephone | 904-503-1132
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Fax | 888-886-4464
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Provider Business Mailing Address
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Address Line | PO BOX 26975
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City | JACKSONVILLE
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State | FL
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Zip | 32226-6975
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Country | US
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Telephone | 904-503-1132
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Fax | 888-886-4464
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Authorized Official
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Title or Position | M.D./OWNER
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Name | DR. RITA MCGUIRE
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Credential | M.D
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Telephone | 312-805-5330
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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 | 036090427
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 036090427
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License Number State | IL
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