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General NPI Number Information
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NPI Number | 1720138746
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Entity Type | Organization
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Legal Business Name | RIVER FOREST MEDICAL CENTER INCORPORATED
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1125 WESTGATE ST
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City | OAK PARK
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State | IL
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Zip | 60301-1007
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Country | US
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Telephone | 708-848-0040
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Fax | 708-848-2931
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Provider Business Mailing Address
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Address Line | 1125 WESTGATE ST
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City | OAK PARK
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State | IL
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Zip | 60301-1007
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Country | US
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Telephone | 708-848-0040
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Fax | 708-848-2931
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Authorized Official
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Title or Position | PRESIDENT
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Name | MAKIS LIMPERIS
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Credential |
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Telephone | 708-848-0040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036076498
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License Number State | IL
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