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General NPI Number Information
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NPI Number | 1013853928
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Entity Type | Individual
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Provider Name | AMBER LULLO CNM
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Gender | Female
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Dates
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Enumeration Date | 04/24/2026
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Last Update Date | 04/24/2026
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Provider Practice Location Address
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Address Line | 901 BIESTERFIELD RD STE 105
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City | ELK GROVE VILLAGE
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State | IL
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Zip | 60007-3393
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Country | US
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Telephone | 847-228-9898
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 340
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City | AROMA PARK
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State | IL
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Zip | 60910-0340
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Country | US
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Telephone | 815-295-2782
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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 | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 209034650
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License Number State | IL
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