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NPI 1689299257

NPI 1689299257 : PRECISION IMMEDIATE CARE AND MEDICAL CENTER, LLC : STONE PARK, IL

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General NPI Number Information
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    NPI Number           |    1689299257
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    Entity Type          |    Organization 
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    Legal Business Name  |    PRECISION IMMEDIATE CARE AND MEDICAL CENTER, LLC 
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Dates
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    Enumeration Date     |    06/10/2020
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    Last Update Date     |    12/07/2023
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Provider Practice Location Address
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    Address Line         |    3520 W NORTH AVE 
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    City                 |    STONE PARK
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    State                |    IL
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    Zip                  |    60165-1042
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    Country              |    US
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    Telephone            |    708-356-6341
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3520 W NORTH AVE 
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    City                 |    STONE PARK
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    State                |    IL
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    Zip                  |    60165-1042
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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    |    PARTNER
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    Name                 |     KALID  ADAB 
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    Credential           |    MD
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    Telephone            |    708-356-6341
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM1300X
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    Taxonomy Name        |    Multi-Specialty Clinic/Center
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    License Number       |    
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    License Number State |    
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