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General NPI Number Information
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NPI Number | 1659394914
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Entity Type | Organization
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Legal Business Name | ADVANCED PHYSICAL MEDICINE & REHABILITATION LTD
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 09/24/2024
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Provider Practice Location Address
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Address Line | 2500 W HIGGINS RD STE 310
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60169-7214
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Country | US
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Telephone | 847-839-8888
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Fax | 847-839-9660
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Provider Business Mailing Address
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Address Line | 2500 W HIGGINS RD STE 310
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60169-7214
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Country | US
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Telephone | 847-839-8888
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Fax | 847-839-9660
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CAMERON DAVID CLARK
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Credential | DC
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Telephone | 847-839-8888
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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 |
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License Number State |
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