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General NPI Number Information
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NPI Number | 1205019205
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Entity Type | Organization
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Legal Business Name | MARGARET I. DAUPHIN-VAN DYK M.D., S.C.
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Dates
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Enumeration Date | 12/12/2007
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Last Update Date | 08/31/2022
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Provider Practice Location Address
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Address Line | 2800 N SHERIDAN RD STE 406
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City | CHICAGO
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State | IL
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Zip | 60657-6158
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Country | US
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Telephone | 312-201-0044
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Fax | 773-697-4628
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Provider Business Mailing Address
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Address Line | 2800 N SHERIDAN RD STE 406
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City | CHICAGO
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State | IL
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Zip | 60657-6158
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Country | US
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Telephone | 312-201-0044
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Fax | 773-697-4628
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Authorized Official
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Title or Position | DOCTOR/OWNER OF PRACTICE
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Name | DR. MARGARET I DAUPHIN-VAN DYK
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Credential | M.D., S.C.
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Telephone | 312-201-0044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036059705
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License Number State | IL
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