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General NPI Number Information
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NPI Number | 1821613407
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Entity Type | Individual
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Provider Name | PATRICK MULLIGAN DO
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Gender | Male
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Dates
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Enumeration Date | 06/10/2020
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 880 W CENTRAL RD STE 8100
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60005-2391
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Country | US
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Telephone | 847-255-5030
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Fax | 847-255-0156
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Provider Business Mailing Address
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Address Line | 180 HARVESTER DR STE 110
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City | BURR RIDGE
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State | IL
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Zip | 60527-6686
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Country | US
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Telephone | 773-702-1150
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 125.076650
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 036-173988
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License Number State | IL
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