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General NPI Number Information
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NPI Number | 1407433824
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Entity Type | Organization
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Legal Business Name | ABSOLUTE MEDICAL GROUP, INC
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Dates
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Enumeration Date | 03/24/2021
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 7060 CENTENNIAL DR STE 102
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City | TINLEY PARK
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State | IL
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Zip | 60477-1699
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Country | US
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Telephone | 708-787-2030
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Fax |
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Provider Business Mailing Address
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Address Line | 7060 CENTENNIAL DR STE 102
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City | TINLEY PARK
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State | IL
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Zip | 60477-1699
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Country | US
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Telephone | 708-787-2030
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | RAMONE KULLUM
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Credential | MPA
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Telephone | 708-787-2030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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