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General NPI Number Information
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NPI Number | 1386660033
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Entity Type | Organization
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Legal Business Name | CPMG MA, LLC
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 2750 S RIVER RD
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City | DES PLAINES
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State | IL
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Zip | 60018-4103
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Country | US
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Telephone | 847-470-8740
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Fax | 847-470-8750
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Provider Business Mailing Address
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Address Line | 3300 GREENBRIAR LN
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City | RIVERWOODS
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State | IL
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Zip | 60015-3857
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Country | US
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Telephone | 847-470-8740
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Fax | 847-470-8750
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | HOWARD S KONOWITZ
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Credential | MD
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Telephone | 847-921-9733
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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