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General NPI Number Information
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NPI Number | 1396241154
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Entity Type | Individual
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Provider Name | NIKHIL MANJUNATH MD
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Gender | Male
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Dates
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Enumeration Date | 04/02/2018
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 1710 N RANDALL RD STE 300
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City | ELGIN
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State | IL
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Zip | 60123-9405
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Country | US
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Telephone | 847-931-0909
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Fax |
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Provider Business Mailing Address
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Address Line | 25070 NETWORK PL
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City | CHICAGO
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State | IL
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Zip | 60673-1250
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 036.173926
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License Number State | IL
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