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General NPI Number Information
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NPI Number | 1831208107
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Entity Type | Individual
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Provider Name | ELANA COMROV MD
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Gender | Female
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 03/11/2015
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Provider Practice Location Address
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Address Line | 4709 GOLF RD STE 1250
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City | SKOKIE
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State | IL
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Zip | 60076-1238
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Country | US
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Telephone | 847-676-5394
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Fax | 847-679-7183
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Provider Business Mailing Address
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Address Line | 4709 GOLF RD STE 1250
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City | SKOKIE
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State | IL
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Zip | 60076-1238
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Country | US
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Telephone | 847-676-5394
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Fax | 847-679-7183
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 35-087709
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License Number State | OH
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