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General NPI Number Information
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NPI Number | 1942252754
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Entity Type | Organization
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Legal Business Name | CIGANEK GILLILAN SC
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 09/02/2015
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Provider Practice Location Address
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Address Line | 737 N MICHIGAN AVE SUITE 2240
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City | CHICAGO
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State | IL
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Zip | 60611-2615
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Country | US
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Telephone | 312-255-0140
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Fax | 312-255-0149
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Provider Business Mailing Address
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Address Line | 737 N MICHIGAN AVE SUITE 2240
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City | CHICAGO
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State | IL
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Zip | 60611-2615
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Country | US
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Telephone | 312-255-0140
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Fax | 312-255-0149
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM DONALD CIGANEK
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Credential | M.D.
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Telephone | 312-255-0140
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 036-088628
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License Number State | IL
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