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General NPI Number Information
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NPI Number | 1740488980
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Entity Type | Organization
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Legal Business Name | OB-GYNE& INFERTILITY CENTER, S.C.
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Dates
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Enumeration Date | 07/10/2007
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Last Update Date | 08/12/2024
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Provider Practice Location Address
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Address Line | 901 BIESTERFIELD RD SUITE 105
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City | ELK GROVE VILLAGE
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State | IL
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Zip | 60007-3392
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Country | US
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Telephone | 847-228-9898
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Fax | 847-228-9899
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Provider Business Mailing Address
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Address Line | 901 BIESTERFIELD RD SUITE 105
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City | ELK GROVE VILLAGE
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State | IL
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Zip | 60007-3392
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Country | US
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Telephone | 847-228-9898
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Fax | 847-228-9899
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANWAR AL-KUNANI
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Credential | M.D.
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Telephone | 847-228-9898
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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 |
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State | IL
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