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General NPI Number Information
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NPI Number | 1609900489
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Entity Type | Organization
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Legal Business Name | K & E MEDICAL LTD.
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 02/01/2012
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Provider Practice Location Address
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Address Line | 600 S WESTERN AVE
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City | CHICAGO
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State | IL
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Zip | 60612-3531
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Country | US
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Telephone | 312-243-3411
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Fax | 312-733-8381
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Provider Business Mailing Address
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Address Line | 600 S WESTERN AVE
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City | CHICAGO
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State | IL
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Zip | 60612-3531
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Country | US
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Telephone | 312-243-3411
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Fax | 312-733-8381
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ELLIOTT MATTHEW CHAY
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Credential | D.C.
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Telephone | 312-243-3411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036056245
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 042006313
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License Number State | IL
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