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General NPI Number Information
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NPI Number | 1598808974
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Entity Type | Organization
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Legal Business Name | DUPAGE MENTAL HEALTH SERVICES, LTD.
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 07/15/2015
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Provider Practice Location Address
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Address Line | 1751 S NAPERVILLE RD SUITE 207
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City | WHEATON
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State | IL
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Zip | 60189-5896
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Country | US
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Telephone | 630-690-2222
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Fax | 630-690-3353
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Provider Business Mailing Address
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Address Line | 1751 S NAPERVILLE RD SUITE 207
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City | WHEATON
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State | IL
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Zip | 60189-5896
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Country | US
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Telephone | 630-690-2222
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Fax | 630-690-3353
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. SYED IRFAN ALI
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Credential | M.D.
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Telephone | 630-690-2222
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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 | 042-003650
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License Number State | IL
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