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General NPI Number Information
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NPI Number | 1427855998
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Entity Type | Organization
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Legal Business Name | VIKASH HULIYAR DDS MS PLLC
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Dates
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Enumeration Date | 03/03/2025
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 1448 W MADISON ST STE 2
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City | CHICAGO
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State | IL
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Zip | 60607-1822
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Country | US
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Telephone | 312-450-7636
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Fax |
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Provider Business Mailing Address
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Address Line | 1448 W MADISON ST STE 2
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City | CHICAGO
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State | IL
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Zip | 60607-1822
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Country | US
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Telephone | 312-450-7636
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Fax | 312-450-7316
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Authorized Official
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Title or Position | OWNER
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Name | DR. VIKASH SURESH HULIYAR
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Credential | DDS MS
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Telephone | 312-450-7636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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