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General NPI Number Information
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NPI Number | 1255569992
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Entity Type | Individual
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Provider Name | REBECCA MAUREEN POWROZEK NP
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Gender | Female
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Dates
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Enumeration Date | 07/01/2009
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 6145 N NORTHWEST HWY
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City | CHICAGO
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State | IL
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Zip | 60631-2127
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Country | US
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Telephone | 312-697-7102
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Fax | 312-809-6501
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Provider Business Mailing Address
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Address Line | 804 S MAPLE ST
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City | MOUNT PROSPECT
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State | IL
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Zip | 60056-4336
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Country | US
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Telephone | 224-213-3333
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209007645
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License Number State | IL
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