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General NPI Number Information
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NPI Number | 1407246697
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Entity Type | Individual
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Provider Name | LILYANA NEZIROVA MD
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Gender | Female
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Dates
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Enumeration Date | 01/27/2015
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 259 E ERIE ST
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City | CHICAGO
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State | IL
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Zip | 60611-2987
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Country | US
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Telephone | 312-926-5924
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Fax | 312-926-6134
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Provider Business Mailing Address
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Address Line | 680 N LAKE SHORE DR
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City | CHICAGO
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State | IL
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Zip | 60611-2987
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Country | US
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Telephone | 312-695-6868
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036-145676
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 125067414
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 036145676
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 036145676
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License Number State | IL
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