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NPI 1427090653

NPI 1427090653 : NANCY J FIELD D.O. : OAK BROOK, IL

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General NPI Number Information
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    NPI Number           |    1427090653
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    Entity Type          |    Individual 
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    Provider Name        |    NANCY J FIELD D.O.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/12/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    900 JORIE BLVD SUITE 186
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    City                 |    OAK BROOK
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    State                |    IL
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    Zip                  |    60523-2213
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    Country              |    US
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    Telephone            |    630-954-6700
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    440 BRIARHILL LN 
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    City                 |    GLENVIEW
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    State                |    IL
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    Zip                  |    60025-4942
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    Country              |    US
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    Telephone            |    847-724-4381
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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        |    207RA0000X
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    Taxonomy Name        |    Adolescent Medicine (Internal Medicine) Physician
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    License Number       |    
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    License Number State |    IL
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