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General NPI Number Information
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NPI Number | 1659665586
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Entity Type | Organization
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Legal Business Name | DOCTORS ON CALL INCORPORATED
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Dates
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Enumeration Date | 06/08/2011
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Last Update Date | 06/08/2011
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Provider Practice Location Address
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Address Line | 5105 TOLLVIEW DR SUITE 210
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City | ROLLING MEADOWS
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State | IL
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Zip | 60008-3713
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Country | US
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Telephone | 847-870-0885
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Fax | 847-870-0886
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Provider Business Mailing Address
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Address Line | 5105 TOLLVIEW DR SUITE 210
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City | ROLLING MEADOWS
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State | IL
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Zip | 60008-3713
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Country | US
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Telephone | 847-870-0885
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Fax | 847-870-0886
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Authorized Official
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Title or Position | PRESIDENT
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Name | KHURRAM A KHAN
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Credential | M.D
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Telephone | 847-870-0885
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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 | 036114851
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License Number State | IL
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