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NPI 1659799377

NPI 1659799377 : JULIA E ASHKINAZI MD : CHICAGO, IL

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General NPI Number Information
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    NPI Number           |    1659799377
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    Entity Type          |    Individual 
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    Provider Name        |    JULIA E ASHKINAZI MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/31/2014
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    Last Update Date     |    12/06/2018
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Provider Practice Location Address
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    Address Line         |    2233 W DIVISION ST 
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    City                 |    CHICAGO
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    State                |    IL
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    Zip                  |    60622-8151
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    Country              |    US
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    Telephone            |    313-770-2000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1140 N WELLS ST UNIT 2614 
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    City                 |    CHICAGO
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    State                |    IL
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    Zip                  |    60610-3073
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    Country              |    US
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    Telephone            |    847-308-5857
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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       |    036.146585
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    License Number State |    IL
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