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General NPI Number Information
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NPI Number | 1265921688
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Entity Type | Individual
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Provider Name | ALYSSA CHRISTINE BUJNAK MD
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Gender | Female
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Dates
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Enumeration Date | 05/02/2018
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 800 W CENTRAL RD
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60005-2349
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Country | US
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Telephone | 847-618-3800
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Fax |
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Provider Business Mailing Address
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Address Line | 2650 RIDGE AVE
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City | EVANSTON
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State | IL
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Zip | 60201-1700
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Country | US
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Telephone |
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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 | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number | 01097699A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number | 036177190
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License Number State | IL
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