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General NPI Number Information
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NPI Number | 1750560009
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Entity Type | Organization
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Legal Business Name | MARTIN J. SZANTO, M.D., S.C.
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Dates
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Enumeration Date | 11/02/2007
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Last Update Date | 12/13/2023
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Provider Practice Location Address
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Address Line | 6374 N LINCOLN AVE SUITE 201
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City | CHICAGO
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State | IL
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Zip | 60659-1275
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Country | US
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Telephone | 773-539-4145
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Fax | 773-539-1207
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Provider Business Mailing Address
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Address Line | 6374 N LINCOLN AVE SUITE 201
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City | CHICAGO
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State | IL
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Zip | 60659-1275
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Country | US
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Telephone | 773-539-4145
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Fax | 773-539-1207
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Authorized Official
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Title or Position | DIRECTOR OF RCM
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Name | KIMBERLY MILLER
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Credential |
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Telephone | 248-331-7908
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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 | 036039841
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License Number State | IL
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