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General NPI Number Information
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NPI Number | 1457203135
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Entity Type | Organization
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Legal Business Name | WASHINGTON UNIVERSITY PHYSICIANS IN ILLINOIS, INC
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Dates
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Enumeration Date | 02/13/2026
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 4901 FOREST PARK AVE STE 341
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City | SAINT LOUIS
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State | MO
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Zip | 63108-1453
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Country | US
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Telephone | 314-454-8181
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Fax | 314-747-1429
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Provider Business Mailing Address
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Address Line | PO BOX 7412011
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City | CHICAGO
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State | IL
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Zip | 60674-2011
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Country | US
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Telephone | 314-454-8181
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Fax | 314-747-1429
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Authorized Official
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Title or Position | SR. DIRECTOR, MANAGED CARE
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Name | CATHY EGHIGIAN
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Credential |
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Telephone | 314-273-0770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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