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General NPI Number Information
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NPI Number | 1649527383
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Entity Type | Organization
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Legal Business Name | DR PIERGIES, LTD
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Dates
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Enumeration Date | 08/13/2012
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Last Update Date | 09/14/2023
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Provider Practice Location Address
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Address Line | 9725 WOODS DR UNIT 1804
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City | SKOKIE
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State | IL
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Zip | 60077-4441
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Country | US
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Telephone | 847-848-1525
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Fax |
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Provider Business Mailing Address
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Address Line | 9725 WOODS DR UNIT 1804
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City | SKOKIE
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State | IL
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Zip | 60077-4441
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Country | US
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Telephone | 847-848-1525
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANTONI A PIERGIES
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Credential | M.D.
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Telephone | 847-848-1525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 036.069721
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License Number State | IL
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