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General NPI Number Information
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NPI Number | 1881311074
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Entity Type | Organization
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Legal Business Name | WASHINGTON UNIVERSITY PHYSICIANS IN ILLINOIS, INC
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Dates
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Enumeration Date | 10/27/2022
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Last Update Date | 10/27/2022
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Provider Practice Location Address
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Address Line | 1 MEMORIAL DR DEPT OF
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City | ALTON
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State | IL
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Zip | 62002-6722
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Country | US
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Telephone | 314-362-2900
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Fax | 314-362-2276
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Provider Business Mailing Address
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Address Line | 660 S EUCLID AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63110-1010
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Country | US
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Telephone | 314-273-0770
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Fax |
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Authorized Official
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Title or Position | SR. DIRECTOR, MANAGED CARE
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Name | CATHY EGHIGIAN
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Credential |
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Telephone | 314-273-0770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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