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General NPI Number Information
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NPI Number | 1417764267
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Entity Type | Individual
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Provider Name | COURTNEY R ECKHOFF APRN
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Gender | Female
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Dates
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Enumeration Date | 12/16/2024
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 8201 E RIVERSIDE BLVD
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City | ROCKFORD
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State | IL
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Zip | 61114-2300
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Country | US
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Telephone | 815-971-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 216 OSPREY RDG
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City | MACHESNEY PARK
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State | IL
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Zip | 61115-8364
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Country | US
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Telephone | 815-243-4247
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209.031253
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 209.031253
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License Number State | IL
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