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General NPI Number Information
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NPI Number | 1619968203
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Entity Type | Individual
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Provider Name | AISHA JALEEL MD
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Gender | Female
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Dates
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Enumeration Date | 11/02/2005
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Last Update Date | 02/12/2010
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Provider Practice Location Address
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Address Line | 3240 W FRANKLIN BLVD
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City | CHICAGO
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State | IL
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Zip | 60624-1511
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Country | US
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Telephone | 773-854-7500
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Fax | 773-287-7873
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Provider Business Mailing Address
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Address Line | 3240 W FRANKLIN BLVD
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City | CHICAGO
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State | IL
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Zip | 60624-1511
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Country | US
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Telephone | 773-854-7500
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Fax | 773-287-7873
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036060798
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License Number State | IL
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