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General NPI Number Information
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NPI Number | 1386175834
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Entity Type | Individual
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Provider Name | SARAH BUNCH M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/27/2017
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 836 W WELLINGTON AVE
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City | CHICAGO
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State | IL
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Zip | 60657-5147
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Country | US
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Telephone | 773-296-7054
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Fax |
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Provider Business Mailing Address
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Address Line | 907 W SUNNYSIDE AVE APT 2E
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City | CHICAGO
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State | IL
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Zip | 60640-6005
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Country | US
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Telephone | 708-254-7539
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 036152098
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 25MA11937000
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License Number State | NJ
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