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General NPI Number Information
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NPI Number | 1891891966
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Entity Type | Organization
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Legal Business Name | PHYSICIAN CARE SERVICES S.C.
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2404 E 79TH ST
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City | CHICAGO
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State | IL
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Zip | 60649-5112
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Country | US
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Telephone | 708-342-7076
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Fax | 708-342-7083
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Provider Business Mailing Address
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Address Line | 8051 186TH ST SUITE A
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City | TINLEY PARK
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State | IL
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Zip | 60477-9341
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Country | US
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Telephone | 708-342-7076
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Fax | 708-342-7083
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Authorized Official
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Title or Position | SECRETARY OF CORPORATION
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Name | DR. NALINI H THAKRAR
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Credential | MD
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Telephone | 708-342-7076
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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