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General NPI Number Information
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NPI Number | 1982770400
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Entity Type | Organization
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Legal Business Name | DR. KEVIN R. ORLOSKI LTD
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Dates
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Enumeration Date | 11/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 761 BUSSE HWY
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City | PARK RIDGE
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State | IL
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Zip | 60068-2462
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Country | US
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Telephone | 847-692-9090
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Fax | 847-692-8916
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Provider Business Mailing Address
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Address Line | 761 BUSSE HWY
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City | PARK RIDGE
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State | IL
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Zip | 60068-2462
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Country | US
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Telephone | 847-692-9090
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Fax | 847-692-8916
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Authorized Official
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Title or Position | CHRIOPRACTIC PHYSICIAN
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Name | DR. KEVIN RICHARD ORLOSKI
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Credential | D.C.
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Telephone | 847-692-9090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 038-08150
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License Number State | IL
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