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General NPI Number Information
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NPI Number | 1902072812
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Entity Type | Organization
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Legal Business Name | RIAZ A. AKHTAR
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Dates
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Enumeration Date | 05/01/2008
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Last Update Date | 05/01/2008
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Provider Practice Location Address
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Address Line | 1 SOUTH 085 SUMMIT AVENUE
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City | OAKBROOK TERRACE
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State | IL
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Zip | 60181-3978
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Country | US
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Telephone | 630-629-6700
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Fax | 630-600-4677
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Provider Business Mailing Address
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Address Line | 910 S GROVE AVE
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City | OAK PARK
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State | IL
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Zip | 60304-1904
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Country | US
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Telephone | 170-838-6811
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Fax | 163-060-0467
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RIAZ A. AKHTAR
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Credential | M.D.,F.A.C.C.
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Telephone | 17083868118
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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