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General NPI Number Information
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NPI Number | 1376528737
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Entity Type | Individual
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Provider Name | JENNIFER J. WARNER M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/08/2005
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Last Update Date | 03/02/2011
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Provider Practice Location Address
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Address Line | 2525 S. MICHIGAN AVE. MERCY HOSPITAL AND MEDICAL CENTER
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City | CHICAGO
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State | IL
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Zip | 60616
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Country | US
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Telephone | 312-567-2899
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Fax |
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Provider Business Mailing Address
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Address Line | 813 DOWNING ST
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City | NORTHBROOK
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State | IL
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Zip | 60062-3022
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Country | US
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Telephone | 847-291-0186
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 036068412
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License Number State | IL
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