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General NPI Number Information
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NPI Number | 1225424575
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Entity Type | Individual
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Provider Name | SEAN ROBERT WESSEL M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/14/2015
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Last Update Date | 12/08/2022
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Provider Practice Location Address
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Address Line | 1000 N WESTMORELAND RD STE 3556
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City | LAKE FOREST
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State | IL
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Zip | 60045
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Country | US
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Telephone | 224-271-5884
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Fax |
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Provider Business Mailing Address
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Address Line | 2495 N MILWAUKEE AVE APT 3N
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City | CHICAGO
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State | IL
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Zip | 60647-2067
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Country | US
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Telephone | 412-418-0137
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036146216
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 036146216
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License Number State | IL
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