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General NPI Number Information
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NPI Number | 1700328788
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Entity Type | Organization
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Legal Business Name | LIMITLESS MEDICAL GROUP, LTD
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Dates
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Enumeration Date | 11/08/2016
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Last Update Date | 11/08/2016
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Provider Practice Location Address
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Address Line | 535 N MICHIGAN AVE APT 2915
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City | CHICAGO
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State | IL
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Zip | 60611-3814
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Country | US
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Telephone | 951-235-1070
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Fax |
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Provider Business Mailing Address
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Address Line | 535 N MICHIGAN AVE APT 2915
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City | CHICAGO
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State | IL
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Zip | 60611-3814
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Country | US
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Telephone | 951-235-1070
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | AMIR BADAR
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Credential | M.D.
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Telephone | 951-235-1070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 036141730
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License Number State | IL
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