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General NPI Number Information
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NPI Number | 1427311646
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Entity Type | Individual
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Provider Name | YARA MIKHAEIL-DEMO M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/21/2012
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 251 E HURON ST
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City | CHICAGO
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State | IL
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Zip | 60611-2908
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Country | US
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Telephone | 312-926-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 259 E. ERIE ST. DEPT OF NEUROLOGY , FLOOR 19
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City | CHICAGO
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State | IL
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Zip | 60611
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Country | US
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Telephone | 312-695-7950
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 036-140005
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2084N0600X
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Taxonomy Name | Clinical Neurophysiology Physician
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License Number | 036140005
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 2084E0001X
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Taxonomy Name | Epilepsy Physician
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License Number | 036140005
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License Number State | IL
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