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General NPI Number Information
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NPI Number | 1881502474
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Entity Type | Organization
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Legal Business Name | IL DENTIST PARTNERS, PC
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Dates
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Enumeration Date | 09/01/2026
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Last Update Date | 09/01/2026
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Provider Practice Location Address
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Address Line | 1827 S MICHIGAN AVE
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City | CHICAGO
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State | IL
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Zip | 60616-1601
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Country | US
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Telephone | 312-328-9009
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 737216
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City | CHICAGO
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State | IL
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Zip | 60673-7216
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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 | VP OF REVENUE CYCLE
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Name | PAMELA BUSCEMI
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Credential |
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Telephone | 586-557-2748
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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