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General NPI Number Information
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NPI Number | 1154826584
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Entity Type | Individual
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Provider Name | ANDREA CAROLINA ARTEAGA MD
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Gender | Female
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Dates
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Enumeration Date | 03/27/2018
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Last Update Date | 06/24/2024
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Provider Practice Location Address
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Address Line | 836 W WELLINGTON AVE STE 5000
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City | CHICAGO
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State | IL
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Zip | 60657-5147
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Country | US
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Telephone | 773-296-8000
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Fax | 312-996-1934
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Provider Business Mailing Address
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Address Line | 4149 N KENMORE AVE APT 2S
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City | CHICAGO
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State | IL
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Zip | 60613-6415
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Country | US
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Telephone | 312-731-9484
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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 | 207WX0120X
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Taxonomy Name | Cornea and External Diseases Specialist Physician
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License Number | 036.160365
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License Number State | IL
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