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General NPI Number Information
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NPI Number | 1073025045
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Entity Type | Organization
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Legal Business Name | WHOLE HEALTH MAMA PEDIATRICS
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Dates
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Enumeration Date | 10/31/2017
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 7330 COLLEGE DRIVE SUITE 201
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City | PALOS HEIGHTS
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State | IL
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Zip | 60463-1184
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Country | US
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Telephone | 708-671-8145
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Fax | 708-608-8089
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Provider Business Mailing Address
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Address Line | 13740 ELM STREET
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City | ORLAND PARK
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State | IL
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Zip | 60462-1510
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Country | US
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Telephone | 312-218-8748
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Fax | 708-460-3067
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Authorized Official
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Title or Position | OWNER
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Name | DR. NICOLE MOZDEN
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Credential | MD
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Telephone | 312-218-8748
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 036116141
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License Number State | IL
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