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General NPI Number Information
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NPI Number | 1396933933
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Entity Type | Organization
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Legal Business Name | HOWARD M. BAIM, M.D., S.C.
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Dates
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Enumeration Date | 10/09/2007
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Last Update Date | 04/04/2008
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Provider Practice Location Address
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Address Line | 2532 N LINCOLN AVE
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City | CHICAGO
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State | IL
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Zip | 60614-2468
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Country | US
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Telephone | 773-883-1177
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Fax |
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Provider Business Mailing Address
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Address Line | 2532 N LINCOLN AVE
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City | CHICAGO
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State | IL
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Zip | 60614-2468
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Country | US
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Telephone | 773-883-1177
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HOWARD M BAIM
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Credential | M.D.
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Telephone | 773-883-1177
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State | IL
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