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General NPI Number Information
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NPI Number | 1417253154
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Entity Type | Organization
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Legal Business Name | VANDANA BADLANI MD S.C.
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Dates
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Enumeration Date | 01/27/2011
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Last Update Date | 11/30/2020
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Provider Practice Location Address
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Address Line | 2266 N. LINCOLN AVENUE, LL
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City | CHICAGO
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State | IL
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Zip | 60614
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Country | US
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Telephone | 630-512-1814
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Fax |
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Provider Business Mailing Address
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Address Line | 312 OTTAWA LN
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City | OAK BROOK
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State | IL
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Zip | 60523-2788
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Country | US
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Telephone | 630-512-1814
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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. VANDANA BADLANI
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Credential | M.D.
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Telephone | 630-512-1814
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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