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General NPI Number Information
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NPI Number | 1477719375
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Entity Type | Individual
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Provider Name | ANGELA LUBKE CAMBIC M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/31/2008
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Last Update Date | 07/03/2024
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Provider Practice Location Address
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Address Line | 25 N WINFIELD RD
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City | WINFIELD
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State | IL
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Zip | 60190-1379
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Country | US
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Telephone | 630-933-6675
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Fax | 630-933-2614
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Provider Business Mailing Address
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Address Line | 4250 N MARINE DR 1616
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City | CHICAGO
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State | IL
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Zip | 60613-1744
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Country | US
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Telephone | 312-560-9981
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 125-052837
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207LP3000X
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Taxonomy Name | Pediatric Anesthesiology Physician
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License Number | 036128165
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License Number State | IL
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