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General NPI Number Information
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NPI Number | 1558600957
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Entity Type | Organization
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Legal Business Name | CHICAGO INSTITUTE OF ADVANCED SURGERY
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Dates
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Enumeration Date | 02/05/2013
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Last Update Date | 12/27/2024
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Provider Practice Location Address
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Address Line | 200 W SUPERIOR ST STE 300
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City | CHICAGO
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State | IL
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Zip | 60654-5563
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Country | US
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Telephone | 773-327-6800
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Fax | 773-327-6877
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Provider Business Mailing Address
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Address Line | 200 W SUPERIOR ST STE 300
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City | CHICAGO
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State | IL
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Zip | 60654-5563
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Country | US
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Telephone | 773-327-6800
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Fax | 773-327-6877
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RAMI LUTFI
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Credential | M.D.
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Telephone | 773-327-6800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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