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General NPI Number Information
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NPI Number | 1215924212
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Entity Type | Organization
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Legal Business Name | LOUISA K GEHLMANN MD SC
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Dates
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Enumeration Date | 10/04/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 120 OAK BROOK CENTER MALL STE 410
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City | OAK BROOK
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State | IL
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Zip | 60523-1806
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Country | US
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Telephone | 630-574-5860
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Fax | 630-574-5866
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Provider Business Mailing Address
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Address Line | 120 OAK BROOK CENTER MALL STE 410
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City | OAK BROOK
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State | IL
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Zip | 60523-1806
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Country | US
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Telephone | 630-574-5860
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Fax | 630-574-5866
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Authorized Official
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Title or Position | OWNER
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Name | LOUISA K GEHLMANN
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Credential | MD
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Telephone | 630-574-5860
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State | IL
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