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General NPI Number Information
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NPI Number | 1467623090
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Entity Type | Organization
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Legal Business Name | CHICAGOLAND ADVANCED PAIN SPECIALISTS,INC
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Dates
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Enumeration Date | 03/24/2008
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Last Update Date | 02/18/2015
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Provider Practice Location Address
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Address Line | 700 E OGDEN AVE SUITE 111
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City | WESTMONT
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State | IL
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Zip | 60559
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Country | US
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Telephone | 708-632-5612
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Fax | 708-632-5602
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Provider Business Mailing Address
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Address Line | 700 E OGDEN AVE SUITE 111
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City | WESTMONT
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State | IL
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Zip | 60559-5569
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Country | US
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Telephone | 708-632-5612
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Fax | 708-632-5602
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANTOINE CHAMI
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Credential | M.D.
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Telephone | 708-632-5612
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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