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General NPI Number Information
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NPI Number | 1164382081
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Entity Type | Individual
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Provider Name | CAROLINE PACH FNP-C
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Gender | Female
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Dates
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Enumeration Date | 11/13/2025
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Last Update Date | 01/01/2026
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Provider Practice Location Address
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Address Line | 211 W WACKER DR STE 300
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City | CHICAGO
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State | IL
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Zip | 60606-1390
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Country | US
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Telephone | 224-305-6237
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Fax |
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Provider Business Mailing Address
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Address Line | 211 W WACKER DR STE 300 PMB 2017
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City | CHICAGO
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State | IL
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Zip | 60606-1390
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Country | US
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Telephone |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 209.033940
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License Number State | IL
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