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General NPI Number Information
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NPI Number | 1710390091
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Entity Type | Organization
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Legal Business Name | ABSOLUTE HOME PHYSICIANS PC
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Dates
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Enumeration Date | 06/04/2014
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Last Update Date | 06/04/2014
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Provider Practice Location Address
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Address Line | 1166 E DUNDEE RD
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City | PALATINE
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State | IL
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Zip | 60074-8305
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Country | US
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Telephone | 847-963-8101
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Fax | 847-963-8120
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Provider Business Mailing Address
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Address Line | 1166 E DUNDEE RD
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City | PALATINE
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State | IL
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Zip | 60074-8305
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Country | US
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Telephone | 847-963-8101
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Fax | 847-963-8120
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DEMETRIOS J GIOKARIS
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Credential | MD
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Telephone | 847-963-8101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036066354
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License Number State | IL
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