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General NPI Number Information
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NPI Number | 1396848768
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Entity Type | Organization
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Legal Business Name | NEUROLOGICAL CARE SPECIALISTS SC
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Dates
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Enumeration Date | 09/07/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 333 CHESTNUT SUITE 102
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City | HINSDALE
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State | IL
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Zip | 60521
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Country | US
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Telephone | 630-986-8770
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Fax | 630-986-8776
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Provider Business Mailing Address
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Address Line | 333 CHESTNUT SUITE 102
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City | HINSDALE
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State | IL
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Zip | 60521
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Country | US
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Telephone | 630-986-8770
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Fax | 630-986-8776
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Authorized Official
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Title or Position | PRESIDENT
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Name | ARMITA BIJARI
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Credential | MD
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Telephone | 630-986-8770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 03608886
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State | IL
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