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General NPI Number Information
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NPI Number | 1538495593
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Entity Type | Organization
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Legal Business Name | NEW YOU CHICAGO PLLC
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Dates
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Enumeration Date | 10/27/2009
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Last Update Date | 10/06/2022
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Provider Practice Location Address
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Address Line | 5545 N MILWAUKEE AVE
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City | CHICAGO
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State | IL
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Zip | 60630-1226
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Country | US
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Telephone | 773-792-8181
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Fax | 773-631-9397
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Provider Business Mailing Address
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Address Line | 5545 N MILWAUKEE AVE
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City | CHICAGO
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State | IL
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Zip | 60630-1226
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Country | US
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Telephone | 773-792-8181
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Fax | 773-631-9397
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | MRS. BEATA DANEK
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Credential | MD
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Telephone | 773-792-8181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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