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General NPI Number Information
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NPI Number | 1992112973
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Entity Type | Individual
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Provider Name | MOHAMMAD EL-RIFAI MD
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Gender | Male
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Dates
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Enumeration Date | 07/22/2014
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Last Update Date | 03/11/2024
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Provider Practice Location Address
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Address Line | 3700 W 203RD ST STE 310
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City | OLYMPIA FIELDS
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State | IL
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Zip | 60461-1182
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Country | US
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Telephone | 708-679-2130
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Fax | 708-679-2260
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Provider Business Mailing Address
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Address Line | 35318 EAGLE WAY
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City | CHICAGO
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State | IL
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Zip | 60678-1353
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Country | US
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Telephone | 317-528-4800
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 11592A
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License Number State | WY
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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | ME155920
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 036167987
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License Number State | IL
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