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NPI 1073855805

NPI 1073855805 : AMY ELIZABETH MARKESE MD : PARK RIDGE, IL

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General NPI Number Information
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    NPI Number           |    1073855805
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    Entity Type          |    Individual 
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    Provider Name        |    AMY ELIZABETH MARKESE MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/19/2013
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    Last Update Date     |    07/07/2025
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Provider Practice Location Address
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    Address Line         |    1875 DEMPSTER ST 
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    City                 |    PARK RIDGE
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    State                |    IL
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    Zip                  |    60068-1186
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    Country              |    US
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    Telephone            |    847-825-1100
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    Fax                  |    847-825-0994
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Provider Business Mailing Address
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    Address Line         |    29373 NETWORK PL 
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    City                 |    CHICAGO
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    State                |    IL
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    Zip                  |    60673-1293
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    Country              |    US
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    Telephone            |    847-390-5900
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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        |    207V00000X
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    Taxonomy Name        |    Obstetrics & Gynecology Physician
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    License Number       |    DR.0059834
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    License Number State |    CO
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Taxonomy #2
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    Taxonomy Code        |    207VX0201X
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    Taxonomy Name        |    Gynecologic Oncology Physician
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    License Number       |    61592
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    License Number State |    MN
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Taxonomy #3
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    Taxonomy Code        |    207VX0000X
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    Taxonomy Name        |    Obstetrics Physician
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    License Number       |    036-172468
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    License Number State |    IL
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