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General NPI Number Information
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NPI Number | 1902957822
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Entity Type | Organization
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Legal Business Name | EXCELLENT HEALTH CARE SERVICES, INC.
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 06/29/2010
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Provider Practice Location Address
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Address Line | 62 ORLAND SQUARE DR SUITE 202
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City | ORLAND PARK
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State | IL
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Zip | 60462-6546
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Country | US
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Telephone | 708-364-1205
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Fax | 708-364-1265
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Provider Business Mailing Address
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Address Line | 11912 STERLING DR
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City | ORLAND PARK
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State | IL
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Zip | 60467-1412
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Country | US
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Telephone | 708-364-1205
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Fax | 708-364-1265
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. JAYANT C BHALERAO
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Credential | MD
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Telephone | 708-364-1205
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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 | 36046837
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License Number State | IL
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