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General NPI Number Information
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NPI Number | 1972812501
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Entity Type | Organization
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Legal Business Name | WESTWOOD MEDICAL CETER INC
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Dates
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Enumeration Date | 09/30/2010
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Last Update Date | 09/30/2010
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Provider Practice Location Address
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Address Line | 6326 S. ASHLAND AVENUE
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City | CHICAGO
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State | IL
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Zip | 60636
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Country | US
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Telephone | 773-412-8452
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Fax |
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Provider Business Mailing Address
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Address Line | 3349 LAKESIDE AVENUE
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City | NORTHBROOK
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State | IL
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Zip | 60062
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAMESH RAMCHANDRA KHARWADKAR
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Credential | M.D
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Telephone | 773-412-8452
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 036-054560
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License Number State | IL
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