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General NPI Number Information
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NPI Number | 1508901620
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Entity Type | Organization
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Legal Business Name | DIMENSIONS MEDICAL CENTER, LTD.
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1455 E GOLF RD SUITE 108
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City | DES PLAINES
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State | IL
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Zip | 60016-1250
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Country | US
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Telephone | 847-390-9300
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2237
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City | DES PLAINES
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State | IL
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Zip | 60017-2237
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Country | US
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Telephone | 847-255-7400
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Fax | 847-398-4585
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Authorized Official
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Title or Position | ASSISTANT ADMINISTRATOR
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Name | TAMMY STERN
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Credential |
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Telephone | 847-255-7400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 7001357
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License Number State | IL
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