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General NPI Number Information
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NPI Number | 1245163591
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Entity Type | Individual
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Provider Name | NATALIA GLOWACKA PA
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Gender | Female
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Dates
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Enumeration Date | 06/05/2026
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Last Update Date | 06/05/2026
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Provider Practice Location Address
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Address Line | 7447 W TALCOTT AVE
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City | CHICAGO
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State | IL
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Zip | 60631-3745
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Country | US
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Telephone | 248-278-0970
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Fax |
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Provider Business Mailing Address
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Address Line | 238 E IRVING PARK RD UNIT 306
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City | WOOD DALE
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State | IL
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Zip | 60191-3008
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Country | US
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Telephone | 773-551-5827
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 085.012126
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License Number State | IL
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