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General NPI Number Information
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NPI Number | 1760618318
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Entity Type | Organization
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Legal Business Name | IPC MEDICAL SOLUTIONS, LLC
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Dates
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Enumeration Date | 06/09/2009
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Last Update Date | 06/09/2009
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Provider Practice Location Address
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Address Line | 820 OCEOLA DR
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City | ALGONQUIN
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State | IL
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Zip | 60102-2972
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Country | US
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Telephone | 773-294-9521
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Fax |
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Provider Business Mailing Address
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Address Line | 1548 E ALGONQUIN RD #257
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City | ALGONQUIN
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State | IL
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Zip | 60102-4519
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Country | US
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Telephone | 773-294-9521
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. RONALD JAHNER
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Credential | N.D.
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Telephone | 773-294-9521
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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