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General NPI Number Information
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NPI Number | 1558833764
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Entity Type | Organization
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Legal Business Name | ALGOSPAIN SERVICES, SC
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Dates
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Enumeration Date | 12/28/2018
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Last Update Date | 04/29/2019
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Provider Practice Location Address
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Address Line | 4711 GOLF RD STE 1075
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City | SKOKIE
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State | IL
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Zip | 60076-1272
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Country | US
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Telephone | 224-998-0900
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Fax | 224-304-4320
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Provider Business Mailing Address
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Address Line | 111 S PEORIA ST UNIT 201
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City | CHICAGO
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State | IL
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Zip | 60607-2883
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DANIEL CHA
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Credential | MD
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Telephone | 312-330-4917
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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