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General NPI Number Information
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NPI Number | 1881575892
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Entity Type | Organization
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Legal Business Name | DIA AESTHETICS LLC
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Dates
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Enumeration Date | 09/08/2025
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 800 BIESTERFIELD RD UNIT 765
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City | ELK GROVE VILLAGE
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State | IL
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Zip | 60007-3361
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Country | US
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Telephone | 312-872-8514
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Fax |
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Provider Business Mailing Address
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Address Line | 2517 W SHAKESPEARE AVE
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City | CHICAGO
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State | IL
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Zip | 60647-4117
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Country | US
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Telephone | 847-507-7077
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SAMEER MEHBUB KAPADIA
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Credential | MD
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Telephone | 847-507-7077
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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