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General NPI Number Information
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NPI Number | 1568887354
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Entity Type | Organization
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Legal Business Name | RESPIRATORY, CRITICAL CARE AND SLEEP SPECIALISTS, LLC
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Dates
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Enumeration Date | 03/03/2014
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Last Update Date | 03/03/2014
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Provider Practice Location Address
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Address Line | 5600 W ADDISON ST SUITE 306
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City | CHICAGO
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State | IL
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Zip | 60634-4401
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Country | US
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Telephone | 773-283-8664
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Fax | 773-283-8688
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Provider Business Mailing Address
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Address Line | 2001 TOWER DR SUITE 303
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City | GLENVIEW
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State | IL
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Zip | 60026-7805
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Country | US
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Telephone | 630-460-1099
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Fax | 630-246-6650
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | MUKESH KUMAR AHLUWALIA
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Credential | M.D.
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Telephone | 630-460-1099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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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 | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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