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General NPI Number Information
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NPI Number | 1972517803
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Entity Type | Organization
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Legal Business Name | OTOLARYNGOLOGY GROUP LTD
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3633 W LAKE AVE SUITE 300
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City | GLENVIEW
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State | IL
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Zip | 60026-5805
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Country | US
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Telephone | 847-729-9122
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Fax | 847-729-9134
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Provider Business Mailing Address
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Address Line | 3633 W LAKE AVE SUITE 300
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City | GLENVIEW
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State | IL
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Zip | 60026-5805
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Country | US
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Telephone | 847-729-9122
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Fax | 847-729-9134
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JEFFREY P SCHONBERG
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Credential | M.D.
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Telephone | 847-729-9122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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