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General NPI Number Information
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NPI Number | 1932902525
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Entity Type | Individual
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Provider Name | NAVED BAVA SALIM DO
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Gender | Male
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Dates
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Enumeration Date | 03/29/2025
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 1775 DEMPSTER ST
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City | PARK RIDGE
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State | IL
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Zip | 60068-1143
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Country | US
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Telephone | 847-723-2210
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Fax |
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Provider Business Mailing Address
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Address Line | 5501 CHAPEL HL
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City | GURNEE
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State | IL
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Zip | 60031-1080
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Country | US
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Telephone | 847-246-2176
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 125.085273
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License Number State | IL
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