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General NPI Number Information
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NPI Number | 1063821916
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Entity Type | Organization
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Legal Business Name | NORTHWESTERN MEDICAL FACULTY FOUNDATION
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Dates
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Enumeration Date | 08/05/2014
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Last Update Date | 01/17/2024
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Provider Practice Location Address
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Address Line | 900 N WESTMORELAND RD LOWER LEVEL 88
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City | LAKE FOREST
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State | IL
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Zip | 60045-1674
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Country | US
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Telephone | 847-295-0001
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Fax |
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Provider Business Mailing Address
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Address Line | 5777 DEPT
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City | CAROL STREAM
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State | IL
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Zip | 60122-4546
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | SABINA STRZEMINSKA
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Credential |
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Telephone | 312-695-0646
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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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 | 152WV0400X
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Taxonomy Name | Vision Therapy Optometrist
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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