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General NPI Number Information
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NPI Number | 1013017185
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Entity Type | Individual
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Provider Name | ELIZABETH G. APOLONIO MD
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Gender | Female
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 10/27/2009
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Provider Practice Location Address
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Address Line | 211 E ONTARIO ST NORTHWESTERN MEMORIAL HEALTH CARE BUILDING - SUITE 1200
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City | CHICAGO
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State | IL
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Zip | 60611-3468
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Country | US
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Telephone | 312-469-4860
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Fax | 312-469-4927
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Provider Business Mailing Address
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Address Line | 211 E ONTARIO ST NORTHWESTERN MEMORIAL HEALTH CARE BUILDING - SUITE 1200
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City | CHICAGO
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State | IL
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Zip | 60611-3468
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Country | US
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Telephone | 312-469-4860
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Fax | 312-469-4927
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036-083800
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License Number State | IL
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