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General NPI Number Information
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NPI Number | 1538164645
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Entity Type | Organization
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Legal Business Name | COMPUTER ASSISTED MEDICAL SYSTEMS, INC.
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Dates
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Enumeration Date | 06/15/2005
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Last Update Date | 06/16/2008
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Provider Practice Location Address
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Address Line | 7845 S COTTAGE GROVE AVE STE 100
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City | CHICAGO
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State | IL
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Zip | 60619-3100
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Country | US
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Telephone | 773-873-4400
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Fax | 773-873-5635
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Provider Business Mailing Address
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Address Line | 7845 S COTTAGE GROVE AVE STE 100
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City | CHICAGO
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State | IL
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Zip | 60619-3100
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Country | US
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Telephone | 773-873-4400
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Fax | 773-873-5635
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Authorized Official
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Title or Position | PRESIDENT
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Name | LISA C MONDIE
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Credential | R.PH.
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Telephone | 773-873-4400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 054-007039
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License Number State | IL
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