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General NPI Number Information
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NPI Number | 1902786239
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Entity Type | Organization
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Legal Business Name | DR. PEACHES PLLC
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Dates
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Enumeration Date | 09/05/2025
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 6438 N MILWAUKEE AVE
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City | CHICAGO
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State | IL
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Zip | 60631-2046
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Country | US
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Telephone | 779-946-2225
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Fax | 773-763-9368
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Provider Business Mailing Address
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Address Line | 926 MAPLE AVE APT 405
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-7405
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Country | US
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Telephone | 630-450-2874
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALEKSANDER WOJTEK PECHEREK
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Credential | D.O.
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Telephone | 779-707-4462
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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