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General NPI Number Information
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NPI Number | 1780649277
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Entity Type | Organization
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Legal Business Name | MIDWEST RHEUMATOLOGY CONSULTANTS, S. C.
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1 S. 224 SUMMIT SUITE 107
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City | OAKBROOK TERRACE
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State | IL
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Zip | 60181
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Country | US
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Telephone | 630-268-0200
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Fax | 630-268-0233
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Provider Business Mailing Address
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Address Line | 1 S. 224 SUMMIT SUITE 107
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City | OAKBROOK TERRACE
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State | IL
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Zip | 60181
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Country | US
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Telephone | 630-268-0200
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Fax | 630-268-0233
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALBERT J. IAMMARTINO
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Credential | M.D.
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Telephone | 630-268-0200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State | IL
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