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General NPI Number Information
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NPI Number | 1114048022
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Entity Type | Organization
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Legal Business Name | HEATHER N.MCCOMBS,DPM,LLC
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 333 N MICHIGAN AVE SUITE 932
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City | CHICAGO
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State | IL
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Zip | 60601-3901
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Country | US
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Telephone | 847-296-8151
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Fax | 312-638-0834
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Provider Business Mailing Address
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Address Line | 9301 GOLF RD SUITE 902
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City | DES PLAINES
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State | IL
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Zip | 60016-1667
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Country | US
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Telephone | 847-296-8151
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Fax | 312-638-0834
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Authorized Official
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Title or Position | OWNER
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Name | DR. HEATHER N MCCOMBS
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Credential | DPM
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Telephone | 847-296-8151
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State | IL
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