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General NPI Number Information
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NPI Number | 1447305313
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Entity Type | Organization
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Legal Business Name | INFECTIOUS DISEASE CONSULTANTS, LTD.
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 10/16/2009
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Provider Practice Location Address
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Address Line | 2740 W FOSTER AVE SUITE 214
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City | CHICAGO
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State | IL
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Zip | 60625-3500
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Country | US
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Telephone | 773-907-3400
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Fax | 773-506-2668
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Provider Business Mailing Address
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Address Line | 2740 W FOSTER AVE SUITE 214
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City | CHICAGO
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State | IL
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Zip | 60625-3500
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Country | US
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Telephone | 773-907-3400
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Fax | 773-506-2668
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVE B. KALISH
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Credential | M.D.
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Telephone | 773-907-3400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 042005824
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License Number State | IL
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