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General NPI Number Information
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NPI Number | 1043933187
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Entity Type | Individual
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Provider Name | AMY LUEBKE DEM, OM,CNP,HHP
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Gender | Female
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Dates
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Enumeration Date | 09/23/2022
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 3910 DEAN ST
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City | WOODSTOCK
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State | IL
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Zip | 60098-7687
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Country | US
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Telephone | 224-730-1940
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Fax |
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Provider Business Mailing Address
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Address Line | 3910 DEAN ST
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City | WOODSTOCK
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State | IL
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Zip | 60098-7687
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Country | US
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Telephone | 224-730-1940
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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 | 175M00000X
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Taxonomy Name | Lay Midwife
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number |
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License Number State |
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