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General NPI Number Information
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NPI Number | 1649765264
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Entity Type | Individual
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Provider Name | MICHAEL EDWARD PETRAVICK MD
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Gender | Male
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Dates
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Enumeration Date | 06/26/2018
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Last Update Date | 06/26/2018
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Provider Practice Location Address
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Address Line | 1650 W HARRISON ST STE 466
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City | CHICAGO
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State | IL
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Zip | 60612-3800
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Country | US
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Telephone | 309-868-4988
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Fax |
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Provider Business Mailing Address
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Address Line | 531 W DEMING PL APT 516
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City | CHICAGO
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State | IL
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Zip | 60614-6412
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Country | US
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Telephone | 309-868-4988
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Fax |
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 125.072611
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License Number State | IL
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