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General NPI Number Information
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NPI Number | 1740404425
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Entity Type | Organization
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Legal Business Name | DIAGNOSTIC ULTRASOUND CONSULTANTS LTD
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 05/24/2011
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Provider Practice Location Address
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Address Line | 120 OAKBROOK CTR SUITE 408
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City | OAK BROOK
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State | IL
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Zip | 60523-1806
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Country | US
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Telephone | 630-954-5577
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Fax | 630-954-2919
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Provider Business Mailing Address
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Address Line | 120 OAKBROOK CTR SUITE 408
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City | OAK BROOK
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State | IL
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Zip | 60523-1806
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Country | US
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Telephone | 630-954-5577
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Fax | 630-954-2919
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. JASON C BIRNHOLZ
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Credential | M.D.
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Telephone | 630-954-5577
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | 36-065383
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License Number State | IL
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