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General NPI Number Information
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NPI Number | 1700873973
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Entity Type | Organization
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Legal Business Name | CEM MEDICAL LLC
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Dates
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Enumeration Date | 10/04/2005
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Last Update Date | 08/20/2024
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Provider Practice Location Address
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Address Line | 5530 N VIRGINIA AVE
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City | CHICAGO
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State | IL
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Zip | 60625-3918
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Country | US
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Telephone | 773-293-4566
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Fax | 773-293-0948
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Provider Business Mailing Address
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Address Line | 5530 N VIRGINIA AVE
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City | CHICAGO
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State | IL
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Zip | 60625-3918
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Country | US
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Telephone | 773-654-1812
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Fax | 773-439-6350
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | MR. PETER B MIGELY
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Credential |
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Telephone | 773-654-1812
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 1574401
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License Number State | IL
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