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General NPI Number Information
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NPI Number | 1477726396
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Entity Type | Organization
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Legal Business Name | SPIROS K. ANALITIS, M.D.,P.C.
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Dates
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Enumeration Date | 04/11/2008
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Last Update Date | 05/15/2008
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Provider Practice Location Address
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Address Line | 2350 N ROCKTON AVE
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City | ROCKFORD
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State | IL
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Zip | 61103-3600
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Country | US
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Telephone | 815-971-5550
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Fax |
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Provider Business Mailing Address
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Address Line | 1885 N BRAYMORE DR
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City | INVERNESS
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State | IL
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Zip | 60010-6406
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Country | US
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Telephone | 847-382-6042
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. SPIROS K. ANALITIS
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Credential | M.D.
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Telephone | 847-382-6042
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 036069744
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License Number State | IL
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