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General NPI Number Information
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NPI Number | 1982861316
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Entity Type | Organization
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Legal Business Name | Y E AKL MD DC
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Dates
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Enumeration Date | 05/22/2008
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Last Update Date | 05/22/2008
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Provider Practice Location Address
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Address Line | 550 E BOUGHTON RD SUITE 110
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City | BOLINGBROOK
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State | IL
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Zip | 60440
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Country | US
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Telephone | 630-783-0044
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Fax | 630-783-1961
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Provider Business Mailing Address
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Address Line | 550 E BOUGHTON RD SUITE 110
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City | BOLINGBROOK
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State | IL
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Zip | 60440
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Country | US
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Telephone | 630-783-0044
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Fax | 630-783-1961
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Authorized Official
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Title or Position | OWNER
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Name | DR. YOUSSEF E AKL
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Credential | MD
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Telephone | 630-783-0044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 036059757
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License Number State | IL
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