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General NPI Number Information
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NPI Number | 1215936406
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Entity Type | Individual
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Provider Name | WALTER C WROBEL MD
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Gender | Male
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Dates
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Enumeration Date | 07/19/2005
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Last Update Date | 09/02/2009
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Provider Practice Location Address
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Address Line | 623 E. MAUDE AVE. WALTER WROBEL
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City | ARLINGTON HTS.
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State | IL
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Zip | 60004-4045
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Country | US
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Telephone | 847-749-2274
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Fax |
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Provider Business Mailing Address
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Address Line | 623 E MAUDE AVE
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City | ARLINGTON HTS
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State | IL
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Zip | 60004-4045
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Country | US
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Telephone | 847-749-2274
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 036039387
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 036039387
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License Number State | IL
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