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General NPI Number Information
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NPI Number | 1821254855
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Entity Type | Organization
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Legal Business Name | BARIATRIC INSTITUTE OF GREATER CHICAGO, LTD
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Dates
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Enumeration Date | 07/30/2008
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Last Update Date | 07/30/2008
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Provider Practice Location Address
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Address Line | 110 N QUINCY ST
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City | HINSDALE
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State | IL
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Zip | 60521-3050
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Country | US
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Telephone | 630-468-2545
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Fax | 630-986-5591
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Provider Business Mailing Address
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Address Line | PO BOX 84
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City | HINSDALE
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State | IL
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Zip | 60522-0084
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Country | US
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Telephone | 630-468-2545
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Fax | 630-986-5591
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. VAFA SHAYANI
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Credential |
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Telephone | 630-468-2545
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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 |
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License Number State |
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