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General NPI Number Information
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NPI Number | 1124124870
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Entity Type | Individual
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Provider Name | SANDRA ELLEN DEMPSEY MD
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Gender | Female
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 927 BROADWAY ST
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City | QUINCY
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State | IL
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Zip | 62301-2719
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Country | US
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Telephone | 217-214-9615
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Fax |
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Provider Business Mailing Address
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Address Line | 20880 W HAWLEY ST
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City | MUNDELEIN
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State | IL
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Zip | 60060-9543
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Country | US
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Telephone | 244-757-3732
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | MD.207289
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 036079047
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License Number State | IL
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