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General NPI Number Information
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NPI Number | 1922294586
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Entity Type | Organization
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Legal Business Name | RENATA J VARIAKOJIS MD SC
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Dates
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Enumeration Date | 09/18/2007
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Last Update Date | 10/15/2010
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Provider Practice Location Address
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Address Line | 7600 W COLLEGE DR
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City | PALOS HEIGHTS
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State | IL
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Zip | 60463-1001
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Country | US
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Telephone | 708-361-5550
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Fax | 708-361-5624
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Provider Business Mailing Address
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Address Line | PO BOX 379
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City | ORLAND PARK
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State | IL
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Zip | 60462-0379
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Country | US
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Telephone | 708-460-9836
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Fax | 708-460-1117
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RENATA J VARIAKOJIS
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Credential | M.D.
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Telephone | 708-361-5550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State | IL
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