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General NPI Number Information
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NPI Number | 1255381877
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Entity Type | Individual
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Provider Name | PATRICIA SUSAN MIKES M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/12/2006
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Last Update Date | 09/01/2023
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Provider Practice Location Address
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Address Line | 911 N ELM ST STE 328
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City | HINSDALE
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State | IL
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Zip | 60521-3642
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Country | US
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Telephone | 630-222-2951
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Fax |
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Provider Business Mailing Address
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Address Line | 5507 S OAK ST
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City | HINSDALE
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State | IL
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Zip | 60521-5063
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Country | US
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Telephone | 312-320-5370
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Fax | 630-734-1827
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 036063514
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 036063514
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License Number State | IL
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