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General NPI Number Information
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NPI Number | 1508986753
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE WOMEN'S CARE
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 800 W DIVERSEY PKWY 3 RD FLOOR
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City | CHICAGO
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State | IL
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Zip | 60614-1412
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Country | US
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Telephone | 773-327-8848
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Fax | 773-327-2892
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Provider Business Mailing Address
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Address Line | 800 W DIVERSEY PKWY 3 RD FLOOR
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City | CHICAGO
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State | IL
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Zip | 60614-1412
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Country | US
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Telephone | 773-327-8848
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Fax | 773-327-2892
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Authorized Official
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Title or Position | OWNER
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Name | DR. TERESA A HUBKA
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Credential | DO
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Telephone | 773-327-8848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State | IL
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