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General NPI Number Information
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NPI Number | 1396604112
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Entity Type | Organization
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Legal Business Name | MAB & ASSOCIATES
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Dates
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Enumeration Date | 01/17/2026
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Last Update Date | 01/17/2026
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Provider Practice Location Address
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Address Line | 1875 DEMPSTER ST STE 110
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City | PARK RIDGE
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State | IL
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Zip | 60068-1125
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Country | US
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Telephone | 712-214-1017
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Fax |
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Provider Business Mailing Address
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Address Line | 4621 LOCUST AVE
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City | GLENVIEW
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State | IL
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Zip | 60025-1426
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Country | US
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Telephone | 847-922-1958
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARIE BITTNER
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Credential | APN
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Telephone | 847-922-1958
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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