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General NPI Number Information
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NPI Number | 1104776921
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Entity Type | Organization
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Legal Business Name | NUMATRX MEDICAL
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Dates
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Enumeration Date | 01/31/2026
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 1206 S 14TH AVE STE 1
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City | MAYWOOD
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State | IL
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Zip | 60153-1835
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Country | US
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Telephone | 708-540-3256
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Fax |
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Provider Business Mailing Address
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Address Line | 1206 S 14TH AVE STE 1
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City | MAYWOOD
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State | IL
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Zip | 60153-1835
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Country | US
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Telephone | 708-540-3256
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KIMBERLY BARKER- PRICE
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Credential | MSN, APRN, AGPCNP-BC
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Telephone | 773-441-3835
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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