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General NPI Number Information
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NPI Number | 1639247273
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Entity Type | Organization
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Legal Business Name | TREMPER HEALTHCARE SYSTEMS, LTD
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 01/03/2017
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Provider Practice Location Address
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Address Line | 6800 MAIN ST SUITE 2
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City | DOWNERS GROVE
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State | IL
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Zip | 60516-3493
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Country | US
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Telephone | 630-724-1500
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Fax | 630-724-1515
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Provider Business Mailing Address
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Address Line | 2389 E 2450TH RD
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City | MARSEILLES
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State | IL
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Zip | 61341-9700
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Country | US
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Telephone | 630-724-1500
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Fax | 630-724-1515
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. STEVEN D TREMPER
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Credential |
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Telephone | 630-724-1500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 038007775
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License Number State | IL
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