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General NPI Number Information
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NPI Number | 1447116991
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Entity Type | Organization
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Legal Business Name | VIRTUMED LLC
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Dates
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Enumeration Date | 12/29/2025
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 965 LAKE ST
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City | OAK PARK
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State | IL
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Zip | 60301-1292
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Country | US
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Telephone | 408-518-2712
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Fax | 630-566-8294
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Provider Business Mailing Address
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Address Line | 455 N CITYFRONT PLAZA DR STE 2515
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City | CHICAGO
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State | IL
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Zip | 60611-5323
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Country | US
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Telephone | 408-518-2712
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Fax | 630-566-8294
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Authorized Official
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Title or Position | OWNER
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Name | RIZWAN KHAN
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Credential |
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Telephone | 312-620-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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