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General NPI Number Information
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NPI Number | 1609737238
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Entity Type | Organization
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Legal Business Name | NEXGEN BIOMETRICS CHICAGO
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Dates
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Enumeration Date | 11/21/2025
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 10522 S CICERO AVE STE 101
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City | OAK LAWN
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State | IL
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Zip | 60453-5290
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Country | US
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Telephone | 312-877-9778
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Fax |
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Provider Business Mailing Address
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Address Line | 10522 S CICERO AVE STE 101
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City | OAK LAWN
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State | IL
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Zip | 60453-5290
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Country | US
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Telephone | 312-877-9778
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Fax |
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Authorized Official
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Title or Position | LAB DIRECTOR
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Name | FALLON WILLIAMS
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Credential |
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Telephone | 312-877-9778
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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