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General NPI Number Information
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NPI Number | 1437259314
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Entity Type | Organization
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Legal Business Name | CHICAGO HEART ASSOCIATES, SC
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2222 W DIVISION ST 220
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City | CHICAGO
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State | IL
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Zip | 60622-2717
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Country | US
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Telephone | 773-384-1100
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5015
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City | OAK BROOK
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State | IL
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Zip | 60522-5015
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER/PHYSICIAN
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Name | DR. SAFDAR ALI
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Credential | M.D.
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Telephone | 773-384-1100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State | IL
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