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General NPI Number Information
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NPI Number | 1689690562
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Entity Type | Organization
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Legal Business Name | PATHOLOGY CONSULTANTS OF CHICAGO, LTD.
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 2525 S MICHIGAN AVE
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City | CHICAGO
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State | IL
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Zip | 60616-2333
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Country | US
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Telephone | 773-990-5739
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 88493
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City | CHICAGO
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State | IL
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Zip | 60680-1493
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Country | US
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Telephone | 773-990-5739
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | DR. VEN ADUANA
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Credential | MD
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Telephone | 847-757-7515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number |
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License Number State |
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