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General NPI Number Information
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NPI Number | 1225314990
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Entity Type | Individual
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Provider Name | MARY K DAHILIG APN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/26/2011
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 20 S CLARK ST FL 11
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City | CHICAGO
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State | IL
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Zip | 60603-1882
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Country | US
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Telephone | 312-926-3627
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Fax | 312-357-2284
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Provider Business Mailing Address
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Address Line | 20 S CLARK ST FL 11
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City | CHICAGO
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State | IL
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Zip | 60603-1882
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Country | US
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Telephone | 312-926-3627
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Fax | 312-357-2284
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 209009165
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209009165
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 277003870
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License Number State | IL
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