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General NPI Number Information
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NPI Number | 1861870883
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Entity Type | Organization
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Legal Business Name | NORTHWEST PSYCHIATRY, P.C.
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Dates
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Enumeration Date | 05/11/2015
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Last Update Date | 05/11/2015
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Provider Practice Location Address
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Address Line | 10 EXECUTIVE CT SUITE 5
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City | SOUTH BARRINGTON
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State | IL
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Zip | 60010-9550
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Country | US
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Telephone | 224-655-2487
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Fax |
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Provider Business Mailing Address
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Address Line | 10 EXECUTIVE CT SUITE 5
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City | SOUTH BARRINGTON
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State | IL
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Zip | 60010-9550
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Country | US
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Telephone | 224-655-2487
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | DR. ISRAR ABBASI
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Credential | M.D.
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Telephone | 224-655-2487
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 036.098579
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License Number State | IL
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