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General NPI Number Information
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NPI Number | 1932248341
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Entity Type | Organization
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Legal Business Name | ADULT HEALTH LTD
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 11/02/2023
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Provider Practice Location Address
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Address Line | 215 REMINGTON BLVD UNIT 1
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City | BOLINGBROOK
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State | IL
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Zip | 60440-3535
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Country | US
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Telephone | 630-378-9191
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Fax | 630-378-9392
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Provider Business Mailing Address
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Address Line | 215 REMINGTON BLVD UNIT 1
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City | BOLINGBROOK
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State | IL
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Zip | 60440-3535
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Country | US
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Telephone | 630-378-9191
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Fax | 630-378-9392
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Authorized Official
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Title or Position | PRESIDENT
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Name | EUGENE A MUZYKANSKY
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Credential | MD
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Telephone | 630-378-9191
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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 | 036098613
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License Number State | IL
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