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General NPI Number Information
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NPI Number | 1083630982
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Entity Type | Organization
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Legal Business Name | CATHERINE M WILBERT, MD, FACOG, SC
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 326 W 64TH ST
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City | CHICAGO
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State | IL
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Zip | 60621-3114
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Country | US
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Telephone | 773-962-4644
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Fax |
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Provider Business Mailing Address
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Address Line | 1634 E 53RD ST 195
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City | CHICAGO
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State | IL
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Zip | 60615-4389
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Country | US
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Telephone | 773-620-9898
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CATHERINE M WILBERT
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Credential | M.D.
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Telephone | 773-620-9898
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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 |
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License Number State | IL
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