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General NPI Number Information
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NPI Number | 1598580805
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Entity Type | Organization
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Legal Business Name | PIREC PSYCHIATRIC SERVICES LLC
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Dates
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Enumeration Date | 11/21/2024
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 4250 N MARINE DR STE 230
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City | CHICAGO
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State | IL
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Zip | 60613-6209
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Country | US
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Telephone | 773-692-1556
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Fax |
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Provider Business Mailing Address
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Address Line | 4250 N MARINE DR STE 230
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City | CHICAGO
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State | IL
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Zip | 60613-6209
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | VESNA PIREC
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Credential | MD, PHD
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Telephone | 773-692-1556
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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