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General NPI Number Information
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NPI Number | 1104473263
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Entity Type | Organization
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Legal Business Name | MOTIVATED MEDICINE, PLLC
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Dates
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Enumeration Date | 08/23/2019
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Last Update Date | 11/15/2022
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Provider Practice Location Address
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Address Line | 480 E ROOSEVELT RD STE 105
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City | WEST CHICAGO
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State | IL
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Zip | 60185-3969
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Country | US
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Telephone | 630-492-1965
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Fax | 630-492-0933
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Provider Business Mailing Address
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Address Line | 480 E ROOSEVELT RD STE 105
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City | WEST CHICAGO
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State | IL
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Zip | 60185-3969
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Country | US
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Telephone | 630-492-1965
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Fax | 630-492-0933
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Authorized Official
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Title or Position | DIRECT OWNER
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Name | DR. SARAH JOY ZIELSDORF
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Credential | M.D.
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Telephone | 630-492-1965
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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