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General NPI Number Information
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NPI Number | 1083647408
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Entity Type | Individual
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Provider Name | CONCEPCION ESTEBAN SANTILLAN MD
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Gender | Female
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 4500 MEMORIAL DR STE 400
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City | BELLEVILLE
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State | IL
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Zip | 62226-5360
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Country | US
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Telephone | 618-233-3066
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Fax | 314-996-7658
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Provider Business Mailing Address
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Address Line | 2201 HENDERSON MILL RD NE STE 160
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City | ATLANTA
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State | GA
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Zip | 30345-2711
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Country | US
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Telephone |
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 036151944
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 101659
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 47916
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | C171642
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License Number State | CA
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