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General NPI Number Information
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NPI Number | 1073462099
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Entity Type | Organization
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Legal Business Name | ONTO FERTILITY LAB OF ILLINOIS, LLC
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Dates
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Enumeration Date | 01/23/2026
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Last Update Date | 01/23/2026
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Provider Practice Location Address
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Address Line | 371 W ONTARIO ST
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City | CHICAGO
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State | IL
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Zip | 60654-5716
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Country | US
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Telephone | 312-724-8448
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Fax | 312-724-8448
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Provider Business Mailing Address
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Address Line | 1130 S CANAL ST
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City | CHICAGO
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State | IL
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Zip | 60607-5058
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Country | US
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Telephone | 312-724-8448
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Fax | 312-724-8448
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Authorized Official
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Title or Position | RCM CONSULTANT
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Name | JENNIFER TESCHENDORF
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Credential |
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Telephone | 612-458-8050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number |
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License Number State |
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