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General NPI Number Information
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NPI Number | 1750603395
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Entity Type | Organization
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Legal Business Name | POMPILIA C TUDORIU M.D. S.C.
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Dates
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Enumeration Date | 02/24/2010
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Last Update Date | 02/24/2010
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Provider Practice Location Address
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Address Line | 676 N SAINT CLAIR ST SUITE 2220
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City | CHICAGO
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State | IL
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Zip | 60611-2927
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Country | US
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Telephone | 312-926-7100
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Fax | 312-926-7400
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Provider Business Mailing Address
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Address Line | PO BOX 7000
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City | RIVER FOREST
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State | IL
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Zip | 60305-7000
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Country | US
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Telephone | 312-926-7100
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Fax | 312-926-7400
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MS. POMPILIA C TUDORIU
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Credential | MD
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Telephone | 312-926-7100
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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 | 036099267
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License Number State | IL
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