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General NPI Number Information
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NPI Number | 1205987989
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Entity Type | Individual
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Provider Name | ELIZABETH KENT GOBBI MD
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Gender | Female
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 04/23/2021
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Provider Practice Location Address
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Address Line | 1950 W POLK ST FL 6
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City | CHICAGO
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State | IL
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Zip | 60612
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Country | US
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Telephone | 312-864-4462
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Fax |
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Provider Business Mailing Address
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Address Line | 1950 WEST POLK ST. 6TH FLOOR CUBICLE #146
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City | CHICAGO
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State | IL
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Zip | 60612
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Country | US
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Telephone | 312-864-4462
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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 | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | 036-084363
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 036-084363
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License Number State | IL
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