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General NPI Number Information
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NPI Number | 1427748284
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Entity Type | Individual
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Provider Name | LYNDA KOLB
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Gender | Female
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Dates
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Enumeration Date | 05/15/2023
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Last Update Date | 05/10/2025
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Provider Practice Location Address
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Address Line | 2101 S ARLINGTON HEIGHTS RD STE 116
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60005-4142
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Country | US
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Telephone | 847-666-5339
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Fax |
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Provider Business Mailing Address
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Address Line | 790 SUNSET RD
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City | WINNETKA
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State | IL
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Zip | 60093-3850
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Country | US
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Telephone | 720-273-7089
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 085.009857
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License Number State | IL
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