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NPI 1740734896

NPI 1740734896 : SALEM TRUE MEDICAL CARE LTD : PALOS HEIGHTS, IL

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General NPI Number Information
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    NPI Number           |    1740734896
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    Entity Type          |    Organization 
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    Legal Business Name  |    SALEM TRUE MEDICAL CARE LTD 
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Dates
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    Enumeration Date     |    08/06/2016
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    Last Update Date     |    11/18/2025
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Provider Practice Location Address
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    Address Line         |    7226 W COLLEGE DR 
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    City                 |    PALOS HEIGHTS
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    State                |    IL
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    Zip                  |    60463-1145
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    Country              |    US
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    Telephone            |    708-845-6565
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    11801 SOUTHWEST HWY STE 3N 
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    City                 |    PALOS HEIGHTS
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    State                |    IL
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    Zip                  |    60463-1069
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    Country              |    US
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    Telephone            |    708-448-9300
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    Fax                  |    708-448-9380
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     ATIYEH  SALEM 
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    Credential           |    
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    Telephone            |    708-845-6565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    213ES0103X
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    Taxonomy Name        |    Foot & Ankle Surgery Podiatrist
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    License Number       |    016003399
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    License Number State |    IL
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