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General NPI Number Information
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NPI Number | 1215807292
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Entity Type | Individual
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Provider Name | TREVOR MURAWSKI
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Gender | Male
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Dates
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Enumeration Date | 11/06/2025
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 10604 SOUTHWEST HWY STE 200
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City | CHICAGO RIDGE
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State | IL
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Zip | 60415-2717
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Country | US
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Telephone | 708-424-9710
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Fax | 708-424-9710
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Provider Business Mailing Address
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Address Line | 62647 COLLECTIONS CENTER BLVD
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City | CHICAGO
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State | IL
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Zip | 60693-0626
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Country | US
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Telephone | 773-726-4713
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Fax | 815-941-2476
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209.033833
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License Number State | IL
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