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General NPI Number Information
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NPI Number | 1427854728
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Entity Type | Individual
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Provider Name | SIOBHAN ELIZABETH ROMANO NP
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Gender | Female
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Dates
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Enumeration Date | 02/19/2025
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 2400 BELVIDERE RD
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City | WAUKEGAN
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State | IL
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Zip | 60085-6165
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Country | US
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Telephone | 847-377-8800
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Fax |
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Provider Business Mailing Address
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Address Line | 5257 N MULLIGAN AVE
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City | CHICAGO
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State | IL
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Zip | 60630-1017
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Country | US
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Telephone | 773-710-7916
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 209.031268
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License Number State | IL
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