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General NPI Number Information
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NPI Number | 1609074483
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Entity Type | Organization
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Legal Business Name | IROK OBSTETRICS & GYNECOLOGICAL SERVICES LTD
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Dates
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Enumeration Date | 07/03/2007
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Last Update Date | 04/16/2008
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Provider Practice Location Address
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Address Line | 2301 E 93RD ST SUITE 115
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City | CHICAGO
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State | IL
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Zip | 60617-3913
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Country | US
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Telephone | 773-375-0313
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Fax | 773-375-3467
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Provider Business Mailing Address
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Address Line | PO BOX 806126
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City | CHICAGO
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State | IL
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Zip | 60680-4122
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Country | US
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Telephone | 773-375-0313
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Fax | 773-375-3467
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Authorized Official
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Title or Position | PRESIDENT
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Name | NURUDEEN OLOWOPOPO
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Credential | MD
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Telephone | 773-375-0313
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State | IL
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