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General NPI Number Information
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NPI Number | 1669799813
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Entity Type | Organization
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Legal Business Name | BODY WORKS HEALTH & WELLNESS LLC
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Dates
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Enumeration Date | 04/28/2010
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Last Update Date | 04/28/2010
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Provider Practice Location Address
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Address Line | 825 W. MONROE ST.
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City | CHICAGO
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State | IL
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Zip | 60607
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Country | US
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Telephone | 847-791-2024
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Fax |
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Provider Business Mailing Address
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Address Line | 217 RUE JARDIN
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City | DEER PARK
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State | IL
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Zip | 60010-3730
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER/DOCTOR
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Name | DR. YOUSEF ZAFFARKHAN
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Credential | D.C.
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Telephone | 847-791-2024
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number |
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License Number State |
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