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General NPI Number Information
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NPI Number | 1861991606
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Entity Type | Organization
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Legal Business Name | INHOUSE PHYSICIANS WC, S.C.
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Dates
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Enumeration Date | 02/07/2018
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Last Update Date | 02/07/2018
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Provider Practice Location Address
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Address Line | 10500 SEYMOUR AVE
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City | FRANKLIN PARK
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State | IL
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Zip | 60131-1212
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Country | US
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Telephone | 847-233-2158
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Fax | 847-233-6396
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Provider Business Mailing Address
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Address Line | 333 N RANDALL RD STE 140
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City | SAINT CHARLES
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State | IL
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Zip | 60174-1500
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Country | US
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Telephone | 800-356-3627
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JONATHAN SPERO
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Credential | MD
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Telephone | 630-730-0364
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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