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General NPI Number Information
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NPI Number | 1457032195
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Entity Type | Organization
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Legal Business Name | ASPIRE INTERNAL MEDICINE PLLC
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Dates
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Enumeration Date | 07/26/2023
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Last Update Date | 08/09/2023
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Provider Practice Location Address
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Address Line | 400 SKOKIE BLVD STE 530
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City | NORTHBROOK
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State | IL
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Zip | 60062-2816
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Country | US
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Telephone | 847-595-5330
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Fax | 847-221-6934
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Provider Business Mailing Address
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Address Line | 400 SKOKIE BLVD STE 530
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City | NORTHBROOK
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State | IL
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Zip | 60062-2816
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Country | US
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Telephone | 847-595-5330
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Fax | 847-221-6934
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Authorized Official
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Title or Position | PARTNER
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Name | DR. SANJEEV LULLA
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Credential | MD
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Telephone | 773-550-2345
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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