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General NPI Number Information
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NPI Number | 1750265146
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Entity Type | Organization
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Legal Business Name | ELGIN ENDOCRINOLOGY
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Dates
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Enumeration Date | 07/31/2025
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 2400 BIG TIMBER RD STE 200
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City | ELGIN
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State | IL
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Zip | 60124-7835
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Country | US
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Telephone | 630-779-0902
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Fax |
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Provider Business Mailing Address
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Address Line | 2400 BIG TIMBER RD STE 200
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City | ELGIN
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State | IL
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Zip | 60124-7835
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Country | US
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Telephone | 630-779-0902
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | FAROOQ QAZI
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Credential | AD
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Telephone | 630-779-0902
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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