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General NPI Number Information
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NPI Number | 1972620441
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Entity Type | Organization
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Legal Business Name | PHYSICIANS PLUS, LTD
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6224 S PULASKI RD
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City | CHICAGO
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State | IL
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Zip | 60629-4610
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Country | US
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Telephone | 773-735-8200
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Fax |
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Provider Business Mailing Address
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Address Line | 6224 S PULASKI RD
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City | CHICAGO
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State | IL
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Zip | 60629-4610
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Country | US
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Telephone | 773-735-8200
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARK S COHEN
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Credential | DC
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Telephone | 773-735-8200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State | IL
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