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General NPI Number Information
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NPI Number | 1356370860
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Entity Type | Individual
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Provider Name | SUZANNE PEREZ STEINRUECK R.N.
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Gender | Female
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Dates
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Enumeration Date | 06/30/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 4710 N TROY ST
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City | CHICAGO
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State | IL
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Zip | 60625-4423
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Country | US
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Telephone | 773-870-1055
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Fax | 773-409-2987
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Provider Business Mailing Address
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Address Line | 4828 SARATOGA AVE
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-3533
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Country | US
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Telephone | 773-870-1055
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Fax | 773-409-2987
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 163WN1003X
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Taxonomy Name | Nutrition Support Registered Nurse
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License Number |
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License Number State | IL
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