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General NPI Number Information
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NPI Number | 1306157789
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Entity Type | Individual
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Provider Name | SARAH DANIELE MCCORMICK D.O.
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Gender | Female
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Dates
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Enumeration Date | 06/30/2010
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Last Update Date | 01/26/2025
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Provider Practice Location Address
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Address Line | 250 CENTER DR STE 101
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City | VERNON HILLS
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State | IL
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Zip | 60061-1582
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Country | US
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Telephone | 847-918-7050
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Fax |
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Provider Business Mailing Address
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Address Line | 1931 N. MEACHAM RD WOMENS HEALTH FIRST
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City | SCHAUMBURG
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State | IL
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Zip | 60173
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Country | US
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Telephone | 920-562-7218
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 5101018839
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 036135182
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License Number State | IL
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