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General NPI Number Information
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NPI Number | 1598808735
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Entity Type | Organization
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Legal Business Name | MANHATTAN MEDICAL
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 440 S STATE ST
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City | MANHATTAN
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State | IL
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Zip | 60442-8504
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Country | US
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Telephone | 847-429-0571
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Fax | 847-429-0570
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Provider Business Mailing Address
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Address Line | 440 S STATE ST
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City | MANHATTAN
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State | IL
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Zip | 60442-8504
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Country | US
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Telephone | 847-429-0571
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Fax | 847-429-0570
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. VLAD BADESCU
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Credential | MD
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Telephone | 815-464-5986
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | 036091635
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License Number State | IL
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