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General NPI Number Information
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NPI Number | 1922154780
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Entity Type | Organization
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Legal Business Name | CENTER FOR FAMILY HEALTH CARE, S.C.
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 05/23/2024
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Provider Practice Location Address
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Address Line | 203 E IRVING PARK RD
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City | WOOD DALE
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State | IL
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Zip | 60191-3985
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Country | US
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Telephone | 847-385-0700
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Fax | 877-550-1717
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Provider Business Mailing Address
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Address Line | 203 E IRVING PARK RD
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City | WOOD DALE
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State | IL
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Zip | 60191-2118
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Country | US
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Telephone | 847-385-0700
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Fax | 877-550-1717
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Authorized Official
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Title or Position | ADMINISTRATOR/CEO
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Name | VERA SCHMIDT
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Credential |
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Telephone | 847-385-0700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 042005492
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License Number State | IL
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