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General NPI Number Information
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NPI Number | 1396964474
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Entity Type | Organization
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Legal Business Name | ALEKSANDR NARODITSKY, D.C.
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 401 S MILWAUKEE AVE SUTE 220
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City | WHEELING
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State | IL
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Zip | 60090-5070
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Country | US
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Telephone | 847-541-7933
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Fax | 847-541-7934
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Provider Business Mailing Address
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Address Line | 2549 WAUKEGAN RD PMB 187
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City | BANNOCKBURN
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State | IL
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Zip | 60015-1569
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Country | US
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Telephone | 847-541-7933
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Fax | 847-541-7934
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALEKSANDR NARODITSKY
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Credential | D.C.
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Telephone | 847-541-7933
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number |
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License Number State | IL
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