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General NPI Number Information
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NPI Number | 1790231710
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Entity Type | Organization
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Legal Business Name | QUESTCARE OBSTETRICS OF ILLINOIS, LLC
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Dates
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Enumeration Date | 08/30/2016
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Last Update Date | 07/09/2020
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Provider Practice Location Address
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Address Line | 10400 HALIGUS RD
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City | HUNTLEY
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State | IL
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Zip | 60142-9553
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Country | US
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Telephone | 815-338-6600
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Fax |
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Provider Business Mailing Address
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Address Line | 13737 NOEL RD #1600
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City | DALLAS
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State | TX
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Zip | 75240-1331
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Country | US
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Telephone | 954-838-2371
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Fax |
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Authorized Official
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Title or Position | OFFICER
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Name | KATHLEEN KONDAS
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Credential |
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Telephone | 954-838-2371
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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