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General NPI Number Information
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NPI Number | 1588999676
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Entity Type | Organization
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Legal Business Name | DR MICHAEL R OSTER PC
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Dates
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Enumeration Date | 10/08/2009
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Last Update Date | 06/14/2010
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Provider Practice Location Address
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Address Line | 5943 W IRVING PARK RD
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City | CHICAGO
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State | IL
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Zip | 60634-2618
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Country | US
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Telephone | 773-282-6111
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Fax | 773-725-6600
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Provider Business Mailing Address
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Address Line | 5943 W IRVING PARK RD
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City | CHICAGO
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State | IL
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Zip | 60634-2618
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Country | US
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Telephone | 773-282-6111
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Fax | 773-725-6600
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Authorized Official
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Title or Position | PODIATRIST
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Name | DR. MICHAEL R OSTER
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Credential | D.P.M.
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Telephone | 773-282-6111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 016-005181
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License Number State | IL
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