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General NPI Number Information
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NPI Number | 1639787823
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Entity Type | Organization
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Legal Business Name | MD INFUSIONS, PLLC
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Dates
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Enumeration Date | 07/14/2020
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Last Update Date | 11/25/2020
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Provider Practice Location Address
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Address Line | 666 DUNDEE RD STE 1903
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City | NORTHBROOK
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State | IL
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Zip | 60062-2739
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Country | US
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Telephone | 844-463-8734
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Fax |
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Provider Business Mailing Address
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Address Line | 666 DUNDEE RD STE 1903
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City | NORTHBROOK
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State | IL
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Zip | 60062-2739
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Country | US
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Telephone | 844-463-8734
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. RICHARD ARONWALD
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Credential | MD
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Telephone | 847-400-4781
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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