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General NPI Number Information
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NPI Number | 1548662851
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Entity Type | Organization
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Legal Business Name | HEALTHJOY
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Dates
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Enumeration Date | 09/17/2014
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 435 N LA SALLE DR STE 400
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City | CHICAGO
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State | IL
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Zip | 60654-4557
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Country | US
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Telephone | 312-768-8390
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Fax |
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Provider Business Mailing Address
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Address Line | 435 N LA SALLE DR STE 400
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City | CHICAGO
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State | IL
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Zip | 60654-4557
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Country | US
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Telephone | 312-768-8390
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Fax |
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Authorized Official
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Title or Position | GENERAL MANAGER, MSK
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Name | BRIAN ASTRACHAN
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Credential |
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Telephone | 708-634-8453
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State | IL
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