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General NPI Number Information
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NPI Number | 1740520733
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Entity Type | Organization
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Legal Business Name | APEX MEDICAL RESEARCH, AMR, INC.
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Dates
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Enumeration Date | 02/27/2013
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Last Update Date | 02/27/2013
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Provider Practice Location Address
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Address Line | 2555 SOUTH KING DRIVE 2ND FLOOR
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City | CHICAGO
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State | IL
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Zip | 60616
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Country | US
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Telephone | 312-823-6800
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Fax |
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Provider Business Mailing Address
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Address Line | 11 SYLVAN GLEN CT
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City | BURR RIDGE
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State | IL
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Zip | 60527-0703
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Country | US
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Telephone | 312-823-6800
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. NUSRAT AHMED
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Credential |
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Telephone | 312-823-6800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036079004
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License Number State | IL
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