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General NPI Number Information
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NPI Number | 1548256506
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Entity Type | Organization
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Legal Business Name | CHICAGO GYNECOLOGIC ONCOLOGY, S.C.
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Dates
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Enumeration Date | 09/26/2005
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Last Update Date | 06/22/2015
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Provider Practice Location Address
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Address Line | 120 W GOLF RD SUITE 212
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City | SCHAUMBURG
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State | IL
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Zip | 60195-5179
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Country | US
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Telephone | 847-490-0144
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Fax | 847-490-1236
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Provider Business Mailing Address
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Address Line | 120 W GOLF RD SUITE 212
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City | SCHAUMBURG
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State | IL
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Zip | 60195-5179
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Country | US
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Telephone | 847-490-0144
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Fax | 847-430-1236
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MRS. BANU YAGCI
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Credential |
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Telephone | 847-490-0144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 036-047122
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License Number State | IL
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