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General NPI Number Information
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NPI Number | 1386837128
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Entity Type | Organization
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Legal Business Name | LOCKE & UCHITELLE PC
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Dates
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Enumeration Date | 08/24/2007
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Last Update Date | 08/24/2007
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Provider Practice Location Address
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Address Line | 7411 LAKE ST STE 2210
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City | RIVER FOREST
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State | IL
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Zip | 60305-1876
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Country | US
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Telephone | 708-366-8200
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Fax | 708-366-8938
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Provider Business Mailing Address
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Address Line | 7411 LAKE ST STE 2210
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City | RIVER FOREST
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State | IL
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Zip | 60305-1876
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Country | US
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Telephone | 708-366-8200
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Fax | 708-366-8938
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MR. JULIANN MORAVEC
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Credential |
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Telephone | 708-848-2304
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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