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NPI 1114986296

NPI 1114986296 : CATHLEEN M CRONIN MD : HINSDALE, IL

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General NPI Number Information
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    NPI Number           |    1114986296
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    Entity Type          |    Individual 
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    Provider Name        |    CATHLEEN M CRONIN MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/20/2006
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    Last Update Date     |    08/21/2024
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Provider Practice Location Address
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    Address Line         |    908 N ELM ST STE 115 
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    City                 |    HINSDALE
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    State                |    IL
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    Zip                  |    60521-2600
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    Country              |    US
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    Telephone            |    630-668-8250
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    Fax                  |    630-668-8916
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Provider Business Mailing Address
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    Address Line         |    2015 N MAIN ST 
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    City                 |    WHEATON
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    State                |    IL
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    Zip                  |    60187-3190
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    Country              |    US
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    Telephone            |    630-668-8250
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    Fax                  |    630-668-8916
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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        |    207WX0110X
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    Taxonomy Name        |    Pediatric Ophthalmology and Strabismus Specialist Physician Physician
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    License Number       |    036060292
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    License Number State |    IL
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Taxonomy #2
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    Taxonomy Code        |    207W00000X
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    Taxonomy Name        |    Ophthalmology Physician
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    License Number       |    36060292
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    License Number State |    IL
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