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General NPI Number Information
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NPI Number | 1952563512
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Entity Type | Organization
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Legal Business Name | AMIT D VYAS MD SC
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Dates
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Enumeration Date | 06/25/2008
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Last Update Date | 05/16/2023
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Provider Practice Location Address
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Address Line | 2315 E 93RD ST STE 237
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City | CHICAGO
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State | IL
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Zip | 60617-3919
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Country | US
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Telephone | 773-221-2700
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Fax | 773-221-5701
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Provider Business Mailing Address
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Address Line | 1917 MIDWEST CLUB PKWY
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City | OAK BROOK
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State | IL
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Zip | 60523-2525
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Country | US
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Telephone | 219-992-9737
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Fax | 219-992-9738
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Authorized Official
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Title or Position | MANAGER/DOCTOR
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Name | DR. AMIT D VYAS
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Credential | MD
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Telephone | 630-747-9190
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 036084893
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License Number State | IL
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