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General NPI Number Information
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NPI Number | 1821176140
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Entity Type | Individual
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Provider Name | OSCAR HERBAS MD
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Gender | Male
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 12/23/2008
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Provider Practice Location Address
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Address Line | 2701 W 68TH ST PHYSICIANS PAVILION, SUITE 352
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City | CHICAGO
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State | IL
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Zip | 60629-1813
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Country | US
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Telephone | 630-243-9890
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Fax | 630-257-8805
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Provider Business Mailing Address
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Address Line | 37 STONE CREEK DR
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City | LEMONT
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State | IL
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Zip | 60439-7706
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Country | US
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Telephone | 630-243-9890
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Fax |
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 036-048716
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License Number State | IL
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