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General NPI Number Information
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NPI Number | 1881804037
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Entity Type | Organization
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Legal Business Name | FIRST HEALTH, INC.
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6038 S CHAMPLAIN AVE
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City | CHICAGO
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State | IL
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Zip | 60637-2512
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Country | US
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Telephone | 177-368-4633
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Fax | 177-368-4637
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Provider Business Mailing Address
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Address Line | 6038 S CHAMPLAIN AVE
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City | CHICAGO
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State | IL
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Zip | 60637-2512
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Country | US
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Telephone | 177-368-4633
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Fax | 177-368-4637
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANDRE LARUE DUNIGAN
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Credential | M.D.
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Telephone | 17736846339
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 102L00000X
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Taxonomy Name | Psychoanalyst
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License Number |
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License Number State | IL
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