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General NPI Number Information
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NPI Number | 1578720991
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Entity Type | Organization
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Legal Business Name | ASSOCIATED FAMILY PHYSICIANS
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Dates
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Enumeration Date | 05/22/2008
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Last Update Date | 05/22/2008
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Provider Practice Location Address
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Address Line | 1635 N ARLINGTON HEIGHTS SUITE 203
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60004
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Country | US
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Telephone | 847-392-1500
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Fax | 847-392-9706
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Provider Business Mailing Address
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Address Line | 1635 N ARLINGTON HEIGHTS SUITE 203
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60004
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Country | US
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Telephone | 847-392-1500
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Fax | 847-392-9706
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Authorized Official
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Title or Position | OWNER
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Name | RAMON GONZALEZ SR.
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Credential | MD
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Telephone | 847-392-1500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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