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General NPI Number Information
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NPI Number | 1699202408
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Entity Type | Individual
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Provider Name | SYED IMAM MD
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Gender | Male
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 11/22/2023
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Provider Practice Location Address
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Address Line | 2070 MORNINGVIEW DR
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60192-4132
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Country | US
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Telephone | 646-388-4210
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Fax |
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Provider Business Mailing Address
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Address Line | 2070 MORNINGVIEW DR
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60192-4132
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Country | US
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Telephone | 646-388-4210
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 036151737
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 72790
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License Number State | WI
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