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General NPI Number Information
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NPI Number | 1831849132
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Entity Type | Organization
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Legal Business Name | VIOS FERTILITY INSTITUTE CHICAGO
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Dates
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Enumeration Date | 03/28/2022
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Last Update Date | 03/28/2022
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Provider Practice Location Address
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Address Line | 2500 N MAYFAIR RD STE 420
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City | WAUWATOSA
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State | WI
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Zip | 53226-1443
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Country | US
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Telephone | 262-518-7448
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Fax |
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Provider Business Mailing Address
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Address Line | 333 S DESPLAINES ST STE 201
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City | CHICAGO
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State | IL
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Zip | 60661-5514
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | MERCEDES POSADAS
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Credential |
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Telephone | 847-773-0029
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number |
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License Number State |
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