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General NPI Number Information
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NPI Number | 1386842946
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Entity Type | Organization
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Legal Business Name | SUH ALTERNATIVE HEALTH AND PAIN CLINIC SC
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Dates
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Enumeration Date | 07/05/2007
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Last Update Date | 11/27/2024
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Provider Practice Location Address
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Address Line | 1600 W GOLF RD
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City | MOUNT PROSPECT
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State | IL
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Zip | 60056
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Country | US
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Telephone | 847-364-2424
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Fax | 847-364-2423
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Provider Business Mailing Address
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Address Line | 1600 W GOLF RD
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City | MOUNT PROSPECT
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State | IL
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Zip | 60056-4004
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Country | US
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Telephone | 847-364-2424
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Fax | 847-364-2423
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. DUCKIN SUH
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Credential | D.C.
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Telephone | 847-364-2424
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 038007998
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License Number State | IL
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