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General NPI Number Information
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NPI Number | 1588855498
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Entity Type | Individual
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Provider Name | OKSANA BARILYAK MD
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Gender | Female
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Dates
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Enumeration Date | 08/06/2007
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Last Update Date | 10/30/2020
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Provider Practice Location Address
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Address Line | 4753 N ELSTON AVE
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City | CHICAGO
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State | IL
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Zip | 60630-4002
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Country | US
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Telephone | 773-205-7200
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Fax | 773-481-7577
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Provider Business Mailing Address
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Address Line | 2740 W FOSTER AVE LL7
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City | CHICAGO
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State | IL
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Zip | 60625
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Country | US
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Telephone | 773-878-8200
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Fax | 773-293-4197
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 036119239
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License Number State | IL
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