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NPI 1346760493

NPI 1346760493 : THOMAS CHRISTOPHER WESTBROOK MD : CHICAGO, IL

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General NPI Number Information
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    NPI Number           |    1346760493
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    Entity Type          |    Individual 
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    Provider Name        |    THOMAS CHRISTOPHER WESTBROOK MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/20/2017
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    Last Update Date     |    09/13/2023
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Provider Practice Location Address
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    Address Line         |    1520 W HARRISON ST 
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    City                 |    CHICAGO
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    State                |    IL
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    Zip                  |    60607-3106
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    Country              |    US
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    Telephone            |    312-226-2371
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    Fax                  |    312-563-0715
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Provider Business Mailing Address
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    Address Line         |    1520 W HARRISON ST 
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    City                 |    CHICAGO
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    State                |    IL
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    Zip                  |    60607-3106
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    Country              |    US
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    Telephone            |    312-942-5904
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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        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    2017019536
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    License Number State |    MO
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Taxonomy #2
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    Taxonomy Code        |    207RX0202X
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    Taxonomy Name        |    Medical Oncology Physician
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    License Number       |    036165419
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    License Number State |    IL
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