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General NPI Number Information
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NPI Number | 1598718009
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Entity Type | Organization
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Legal Business Name | DOKUBO LTD
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 3435 W VAN BUREN ST
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City | CHICAGO
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State | IL
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Zip | 60624-3312
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Country | US
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Telephone | 773-265-0200
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Fax |
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Provider Business Mailing Address
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Address Line | 3435 W VAN BUREN ST
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City | CHICAGO
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State | IL
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Zip | 60624-3312
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Country | US
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Telephone | 773-265-0200
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | IGONI I DOKUBO
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Credential | MD
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Telephone | 773-265-0200
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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 | IL
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Taxonomy #2
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State | IL
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