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General NPI Number Information
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NPI Number | 1801831565
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Entity Type | Organization
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Legal Business Name | DUPAGE NEONATOLOGY ASSOCIATES SC
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Dates
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Enumeration Date | 06/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 120 N OAK
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City | HINSDALE
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State | IL
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Zip | 60521
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Country | US
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Telephone | 847-991-0440
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Fax | 847-991-0441
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Provider Business Mailing Address
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Address Line | PO BOX 487
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City | HINSDALE
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State | IL
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Zip | 60522-0487
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Country | US
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Telephone | 847-991-0440
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Fax | 847-991-0441
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Authorized Official
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Title or Position | PRESIDENT
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Name | STAVROS P IONIDES
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Credential | MD
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Telephone | 847-991-0440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number |
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License Number State |
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