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General NPI Number Information
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NPI Number | 1952455362
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Entity Type | Individual
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Provider Name | RAKESH CHUGH M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 06/21/2024
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Provider Practice Location Address
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Address Line | 17732 OAK PARK AVE STE E-F
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City | TINLEY PARK
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State | IL
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Zip | 60477-3934
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Country | US
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Telephone | 708-404-2463
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Fax | 708-407-8255
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Provider Business Mailing Address
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Address Line | 17732 OAK PARK AVE STE E-F
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City | TINLEY PARK
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State | IL
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Zip | 60477-3934
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Country | US
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Telephone | 708-404-2463
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036085688
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License Number State | IL
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