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NPI 1407078801

NPI 1407078801 : THE INSTITUTE FOR HUMAN REPRODUCTION : CHICAGO, IL

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General NPI Number Information
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    NPI Number           |    1407078801
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    Entity Type          |    Organization 
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    Legal Business Name  |    THE INSTITUTE FOR HUMAN REPRODUCTION 
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Dates
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    Enumeration Date     |    05/03/2007
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    Last Update Date     |    07/15/2025
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Provider Practice Location Address
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    Address Line         |    680 N LAKE SHORE DR STE 100 
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    City                 |    CHICAGO
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    State                |    IL
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    Zip                  |    60611-4447
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    Country              |    US
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    Telephone            |    312-288-6420
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    Fax                  |    312-288-6421
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Provider Business Mailing Address
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    Address Line         |    680 N LAKE SHORE DR STE 100 
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    City                 |    CHICAGO
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    State                |    IL
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    Zip                  |    60611-4447
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    Country              |    US
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    Telephone            |    312-288-6420
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    Fax                  |    312-288-6421
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |    MS. KRISTINA  MUSLEH 
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    Credential           |    
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    Telephone            |    312-288-6420
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207VE0102X
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    Taxonomy Name        |    Reproductive Endocrinology Physician
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    License Number       |    
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    License Number State |    
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