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General NPI Number Information
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NPI Number | 1568585933
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Entity Type | Organization
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Legal Business Name | LI ZHANG MD SC
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 06/06/2011
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Provider Practice Location Address
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Address Line | 5980 SOUTH ROUTE 53 SUITE-B
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City | LISLE
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State | IL
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Zip | 60532
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Country | US
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Telephone | 630-968-8220
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Fax | 630-968-8230
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Provider Business Mailing Address
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Address Line | P.O. BOX 5428
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City | WOODRIDGE
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State | IL
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Zip | 60517
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Country | US
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Telephone | 630-968-8220
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Fax | 630-968-8230
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Authorized Official
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Title or Position | PRESIDENT
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Name | LI ZHANG
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Credential | MD
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Telephone | 630-968-8220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 036095842
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 036.095842
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License Number State | IL
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