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General NPI Number Information
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NPI Number | 1316100944
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Entity Type | Individual
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Provider Name | MAUREEN NATALIE SUTER MD
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Gender | Female
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Dates
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Enumeration Date | 07/03/2008
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 415 N. LASALLE DR SUITE 100
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City | CHICAGO
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State | IL
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Zip | 60654
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Country | US
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Telephone | 312-219-2230
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Fax | 312-219-2239
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Provider Business Mailing Address
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Address Line | 1 EMBARCADERO CTR STE 1900
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City | SAN FRANCISCO
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State | CA
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Zip | 94111-3723
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Country | US
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Telephone | 415-658-6791
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036139286
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License Number State | IL
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