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General NPI Number Information
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NPI Number | 1972761559
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Entity Type | Organization
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Legal Business Name | SCHWARTZ & ZELIKOW DDS PC
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Dates
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Enumeration Date | 05/30/2008
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Last Update Date | 06/26/2008
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Provider Practice Location Address
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Address Line | 111 WEST CENTRAL RD
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City | MT PROSPECT
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State | IL
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Zip | 60056
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Country | US
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Telephone | 847-590-1100
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Fax | 847-590-1105
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Provider Business Mailing Address
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Address Line | 111 WEST CENTRAL RD
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City | MT PROSPECT
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State | IL
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Zip | 60056
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Country | US
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Telephone | 847-590-1100
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Fax | 847-590-1105
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOSEPH M SCHWARTZ
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Credential |
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Telephone | 847-590-1100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 019019616
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License Number State | IL
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