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General NPI Number Information
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NPI Number | 1720997554
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Entity Type | Organization
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Legal Business Name | PREMIER CARDIOVASCULAR AND VEIN INSTITUTE SC
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Dates
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Enumeration Date | 09/07/2026
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Last Update Date | 09/07/2026
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Provider Practice Location Address
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Address Line | 360 W BUTTERFIELD RD STE 205
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City | ELMHURST
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State | IL
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Zip | 60126-5068
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Country | US
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Telephone | 773-612-0059
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Fax |
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Provider Business Mailing Address
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Address Line | 1741 W ELLEN ST
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City | CHICAGO
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State | IL
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Zip | 60622-3202
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Country | US
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Telephone | 773-612-0059
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SABA KHAN
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Credential | MD
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Telephone | 773-612-0059
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number |
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License Number State |
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