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General NPI Number Information
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NPI Number | 1760622724
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Entity Type | Organization
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Legal Business Name | APK CONSULTING INCORPORATED
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Dates
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Enumeration Date | 03/03/2009
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Last Update Date | 03/03/2009
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Provider Practice Location Address
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Address Line | 1501 N STATE PKWY 3A
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City | CHICAGO
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State | IL
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Zip | 60610-1676
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Country | US
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Telephone | 312-804-5954
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Fax | 312-787-5532
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Provider Business Mailing Address
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Address Line | 1501 N STATE PKWY 3A
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City | CHICAGO
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State | IL
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Zip | 60610-1676
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Country | US
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Telephone | 312-804-5954
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Fax | 312-787-5532
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALBERT PAUL KNOTT
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Credential | M.D.
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Telephone | 312-804-5954
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 036037430
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number | 03637430
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License Number State | IL
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