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General NPI Number Information
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NPI Number | 1770679920
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Entity Type | Individual
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Provider Name | SABIHA GAFOOR M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 07/30/2020
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Provider Practice Location Address
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Address Line | CHICAGO DEPARTMENT OF PUBLIC HEALTH 333 S STATE STREET REVENUE #200
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City | CHICAGO
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State | IL
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Zip | 60604
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Country | US
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Telephone | 312-747-9443
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Fax | 312-747-9447
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Provider Business Mailing Address
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Address Line | CHICAGO DEPARTMENT OF PUBLIC HEALTH 333 S STATE STREET REVENUE #200
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City | CHICAGO
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State | IL
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Zip | 60604
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Country | US
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Telephone | 312-747-9443
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Fax | 312-747-9447
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036071365
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 036-071365
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 2080P0204X
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Taxonomy Name | Pediatric Emergency Medicine (Pediatrics) Physician
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License Number | 036-071365
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License Number State | IL
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