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General NPI Number Information
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NPI Number | 1548796311
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Entity Type | Individual
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Provider Name | VIRGINIA ARLENE GO M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 900 N KINGSBURY ST STE RW-6
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City | CHICAGO
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State | IL
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Zip | 60610-7461
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Country | US
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Telephone | 312-222-8230
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Fax | 312-467-0743
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Provider Business Mailing Address
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Address Line | 2555 PATRIOT BLVD STE 200
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City | GLENVIEW
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State | IL
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Zip | 60026-8022
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Country | US
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Telephone | 847-998-8200
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Fax | 847-998-6880
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 036.169517
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License Number State | IL
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