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General NPI Number Information
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NPI Number | 1932523362
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Entity Type | Organization
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Legal Business Name | PULMONARY AND SLEEP ASSOCIATES INC.
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Dates
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Enumeration Date | 02/05/2014
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Last Update Date | 05/12/2021
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Provider Practice Location Address
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Address Line | 3800 W 203RD ST SUITE 201
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City | OLYMPIA FIELDS
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State | IL
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Zip | 60461-1184
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Country | US
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Telephone | 815-464-0197
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Fax |
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Provider Business Mailing Address
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Address Line | 10712 CANTERBURY DR
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City | MOKENA
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State | IL
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Zip | 60448-1085
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Country | US
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Telephone | 630-952-1412
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PANKAJ JAIN
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Credential | MD
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Telephone | 815-464-0197
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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