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General NPI Number Information
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NPI Number | 1619003126
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Entity Type | Organization
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Legal Business Name | SIGMA SURGICAL SUPPLY CORP
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 02/03/2016
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Provider Practice Location Address
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Address Line | 2708 W DIVISION ST
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City | CHICAGO
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State | IL
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Zip | 60622-5681
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Country | US
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Telephone | 773-235-5553
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Fax | 773-235-5430
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Provider Business Mailing Address
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Address Line | 2708 W DIVISION ST
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City | CHICAGO
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State | IL
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Zip | 60622-5681
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Country | US
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Telephone | 773-235-5553
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Fax | 773-235-5430
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Authorized Official
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Title or Position | OWNER
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Name | MR. BORIS KRAMNIK SR.
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Credential |
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Telephone | 773-235-5553
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 1197818
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License Number State | IL
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