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General NPI Number Information
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NPI Number | 1518932714
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Entity Type | Organization
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Legal Business Name | CARDIOLOGY CONSULTANTS OF NORTHWESTERN, PC
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Dates
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Enumeration Date | 02/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 150 E HURON ST SUITE 801
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City | CHICAGO
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State | IL
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Zip | 60611-2999
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Country | US
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Telephone | 312-664-3404
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Fax | 312-664-9740
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Provider Business Mailing Address
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Address Line | 1730 PARK ST SUITE 101
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City | NAPERVILLE
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State | IL
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Zip | 60563-2688
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Country | US
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Telephone | 630-718-0200
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Fax | 630-718-0900
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | LYNN YENKO SHELTON-ZOIOPOULOS
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Credential | D.O.
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Telephone | 630-718-0200
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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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