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General NPI Number Information
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NPI Number | 1538446141
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Entity Type | Organization
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Legal Business Name | ADVANCED WOMEN'S HEALTH OF CHICAGO, SC
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Dates
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Enumeration Date | 11/10/2011
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Last Update Date | 05/17/2012
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Provider Practice Location Address
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Address Line | 3000 N HALSTED ST SUITE 721
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City | CHICAGO
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State | IL
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Zip | 60657-5188
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Country | US
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Telephone | 773-281-6333
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Fax | 773-472-3845
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Provider Business Mailing Address
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Address Line | 3000 N HALSTED ST SUITE 721
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City | CHICAGO
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State | IL
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Zip | 60657-5188
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Country | US
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Telephone | 773-281-6333
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Fax | 773-472-3845
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Authorized Official
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Title or Position | OWNER
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Name | DR. SUE BURCU ONISPIR-KAFALI
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Credential | MD
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Telephone | 847-971-5826
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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