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General NPI Number Information
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NPI Number | 1518780006
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Entity Type | Organization
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Legal Business Name | ALLIANCE PHYSICIANS GROUP LLC
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Dates
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Enumeration Date | 11/04/2024
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | 1795 N BUTTERFIELD RD STE 203
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City | LIBERTYVILLE
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State | IL
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Zip | 60048-1212
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Country | US
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Telephone | 847-909-2088
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Fax |
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Provider Business Mailing Address
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Address Line | 1795 N BUTTERFIELD RD STE 203
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City | LIBERTYVILLE
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State | IL
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Zip | 60048-1212
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Country | US
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Telephone | 847-909-2088
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Fax |
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Authorized Official
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Title or Position | COO
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Name | DALIA THOMAS
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Credential |
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Telephone | 847-909-2088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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