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General NPI Number Information
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NPI Number | 1578654075
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Entity Type | Organization
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Legal Business Name | CHICAGO VOICE & SWALLOWING CENTERS, LTD
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 11/13/2008
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Provider Practice Location Address
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Address Line | 1725 W HARRISON ST SUITE 321
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City | CHICAGO
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State | IL
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Zip | 60612-3841
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Country | US
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Telephone | 224-436-5420
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Fax | 847-291-6587
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Provider Business Mailing Address
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Address Line | PO BOX 156
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City | NORTHBROOK
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State | IL
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Zip | 60065-0156
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Country | US
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Telephone | 224-436-5420
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Fax | 847-291-6587
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN J CHAROUS
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Credential | M.D.
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Telephone | 847-729-9122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 036084409
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License Number State | IL
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