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General NPI Number Information
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NPI Number | 1548489107
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Entity Type | Organization
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Legal Business Name | VEDEK INC
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 836 W WELLINGTON AVE
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City | CHICAGO
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State | IL
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Zip | 60657-5147
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Country | US
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Telephone | 773-296-8360
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Fax | 773-296-8365
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Provider Business Mailing Address
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Address Line | 1305 EDGEWOOD LN
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City | NORTHBROOK
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State | IL
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Zip | 60062-4715
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Country | US
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Telephone | 847-564-1167
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Fax | 847-564-2212
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Authorized Official
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Title or Position | OWNER
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Name | DR. DALJEET SINGH
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Credential | MD
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Telephone | 847-564-1167
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State | IL
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