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General NPI Number Information
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NPI Number | 1043738388
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Entity Type | Individual
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Provider Name | CHASE RUPPRECHT DO
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Gender | Male
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Dates
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Enumeration Date | 09/07/2017
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 251 E HURON ST
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City | CHICAGO
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State | IL
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Zip | 60611-2908
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Country | US
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Telephone | 312-926-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 455 E WATERSIDE DR UNIT 1601
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City | CHICAGO
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State | IL
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Zip | 60601-0017
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Country | US
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Telephone | 973-828-5833
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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 | 207RA0201X
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Taxonomy Name | Allergy & Immunology (Internal Medicine) Physician
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License Number | 036175626
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License Number State | IL
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