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General NPI Number Information
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NPI Number | 1023428786
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Entity Type | Individual
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Provider Name | LAUREN E SPLITTGERBER MD
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Gender | Female
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Dates
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Enumeration Date | 05/04/2014
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Last Update Date | 01/25/2024
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Provider Practice Location Address
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Address Line | 355 E ERIE ST
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City | CHICAGO
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State | IL
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Zip | 60611-3167
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Country | US
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Telephone | 312-238-1000
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Fax | 312-238-7767
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Provider Business Mailing Address
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Address Line | 355 E ERIE ST
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City | CHICAGO
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State | IL
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Zip | 60611-3167
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Country | US
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Telephone | 312-238-1000
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Fax | 312-238-7767
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 036.150513
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 036150513
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License Number State | IL
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