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General NPI Number Information
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NPI Number | 1073796579
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Entity Type | Organization
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Legal Business Name | WENDY SANDERS-MAUBACH,O.D., P.C.
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Dates
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Enumeration Date | 12/07/2007
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 107 E MCKINLEY RD
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City | OTTAWA
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State | IL
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Zip | 61350
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Country | US
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Telephone | 815-433-1426
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Fax | 815-324-9417
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Provider Business Mailing Address
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Address Line | 107 E MCKINLEY RD
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City | OTTAWA
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State | IL
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Zip | 61350-4801
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Country | US
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Telephone | 815-433-1426
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Fax | 815-324-9417
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | DR. WENDY SANDERS-MAUBACH
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Credential | OD
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Telephone | 815-433-1426
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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