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NPI 1770564122

NPI 1770564122 : RICHARD D FINEGOLD MD. : ELMHURST, IL

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General NPI Number Information
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    NPI Number           |    1770564122
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    Entity Type          |    Individual 
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    Provider Name        |    RICHARD D FINEGOLD MD.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/10/2005
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    Last Update Date     |    07/09/2015
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Provider Practice Location Address
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    Address Line         |    172 SCHILLER 
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    City                 |    ELMHURST
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    State                |    IL
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    Zip                  |    60126-2885
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    Country              |    US
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    Telephone            |    331-221-9001
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    Fax                  |    331-221-3904
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Provider Business Mailing Address
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    Address Line         |    172 SCHILLER 
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    City                 |    ELMHURST
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    State                |    IL
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    Zip                  |    60126-2885
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    Country              |    US
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    Telephone            |    331-221-9000
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    Fax                  |    331-221-3904
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    036072555
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    License Number State |    IL
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Taxonomy #2
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    Taxonomy Code        |    207RB0002X
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    Taxonomy Name        |    Obesity Medicine (Internal Medicine) Physician
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    License Number       |    036072555
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    License Number State |    IL
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