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General NPI Number Information
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NPI Number | 1164490066
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Entity Type | Individual
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Provider Name | JAMES M PAPESCH MD
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Gender | Male
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Dates
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Enumeration Date | 03/08/2006
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 801 S MILWAUKEE AVE CONDELL MEDICAL CENTER RADIOLOGY DEPARTMENT
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City | LIBERTYVILLE
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State | IL
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Zip | 60048-3204
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Country | US
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Telephone | 847-362-2900
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Fax | 847-990-5380
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Provider Business Mailing Address
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Address Line | 801 S MILWAUKEE AVE
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City | LIBERTYVILLE
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State | IL
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Zip | 60048-3204
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Country | US
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Telephone | 847-990-5398
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Fax | 630-645-6440
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 47867
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License Number State | WI
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