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General NPI Number Information
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NPI Number | 1649466426
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Entity Type | Organization
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Legal Business Name | HEALTHFRONT, LIMITED
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Dates
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Enumeration Date | 09/14/2007
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Last Update Date | 01/26/2012
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Provider Practice Location Address
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Address Line | 3610 W LAWRENCE AVE
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City | CHICAGO
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State | IL
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Zip | 60625-5606
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Country | US
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Telephone | 773-267-1992
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Fax |
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Provider Business Mailing Address
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Address Line | 3610 W LAWRENCE AVE
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City | CHICAGO
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State | IL
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Zip | 60625-5606
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Country | US
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Telephone | 773-267-1992
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | FRANCISCO L CHUY
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Credential | MD
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Telephone | 773-267-0055
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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 | 036087894
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License Number State | IL
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