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General NPI Number Information
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NPI Number | 1912379942
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Entity Type | Organization
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Legal Business Name | SEEMA ELAHI, M.D., INC.
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Dates
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Enumeration Date | 10/29/2015
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Last Update Date | 05/16/2022
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Provider Practice Location Address
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Address Line | 450 E 22ND ST STE 100
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City | LOMBARD
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State | IL
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Zip | 60148-6175
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Country | US
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Telephone | 630-673-5757
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Fax | 908-605-4974
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Provider Business Mailing Address
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Address Line | 450 E 22ND ST STE 100
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City | LOMBARD
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State | IL
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Zip | 60148-6175
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Country | US
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Telephone | 773-588-7733
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Fax | 773-588-7340
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. MARIA D LYSANDROU
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Credential |
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Telephone | 773-588-7733
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036084250
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License Number State | IL
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