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General NPI Number Information
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NPI Number | 1740106038
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Entity Type | Individual
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Provider Name | ALI ANJUM MBBS
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Gender | Male
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Dates
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Enumeration Date | 06/29/2026
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Last Update Date | 06/29/2026
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Provider Practice Location Address
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Address Line | 820 S WOOD ST MC 793
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City | CHICAGO
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State | IL
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Zip | 60612
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Country | US
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Telephone | 312-996-2933
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Fax | 312-996-3050
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Provider Business Mailing Address
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Address Line | 18 HSUKH CHAYN GARENS
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City | LAHORE
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State | PUNJAB
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Zip | 54000
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Country | PK
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 125.087118
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License Number State | IL
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