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General NPI Number Information
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NPI Number | 1992566350
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Entity Type | Organization
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Legal Business Name | IMPERIAL MANAGEMENT INC
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Dates
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Enumeration Date | 01/22/2024
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Last Update Date | 01/22/2024
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Provider Practice Location Address
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Address Line | 689 N CASS AVE
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City | WESTMONT
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State | IL
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Zip | 60559-1338
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Country | US
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Telephone | 773-507-7162
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Fax |
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Provider Business Mailing Address
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Address Line | 689 N CASS AVE
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City | WESTMONT
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State | IL
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Zip | 60559-1338
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Country | US
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Telephone | 773-507-7162
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Fax |
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MR. MAHBOOB A ABBAS
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Credential |
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Telephone | 773-507-7162
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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