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General NPI Number Information
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NPI Number | 1316035918
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Entity Type | Organization
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Legal Business Name | MICHELLE A FIELD MD SC
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 11/13/2014
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Provider Practice Location Address
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Address Line | 887 BOB-O-LINK RD
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City | HIGHLAND PARK
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State | IL
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Zip | 60035-3913
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Country | US
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Telephone | 847-291-1122
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Fax |
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Provider Business Mailing Address
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Address Line | 887 BOB-O-LINK RD
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City | HIGHLAND PARK
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State | IL
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Zip | 60035-3913
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Country | US
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Telephone | 847-291-1122
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Fax |
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Authorized Official
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Title or Position | PSYCHIATRIST
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Name | DR. MICHELLE A FIELD
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Credential | M.D., S.C.
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Telephone | 847-291-1122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 036110377
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License Number State | IL
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