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General NPI Number Information
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NPI Number | 1528240207
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Entity Type | Organization
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Legal Business Name | SALTCREEK OBSTRETICS/GYNECOLOGY
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Dates
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Enumeration Date | 12/04/2007
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Last Update Date | 12/04/2007
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Provider Practice Location Address
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Address Line | 950 N YORK RD SUITE 201
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City | HINSDALE
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State | IL
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Zip | 60521-2950
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Country | US
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Telephone | 630-794-9700
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Fax | 630-794-9711
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Provider Business Mailing Address
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Address Line | 950 N YORK RD SUITE 201
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City | HINSDALE
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State | IL
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Zip | 60521-2950
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Country | US
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Telephone | 630-794-9700
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Fax | 630-794-9711
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Authorized Official
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Title or Position | PHYSICIAN
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Name | MARGARET M PFISTER
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Credential | M.D.
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Telephone | 630-794-9700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 036058934
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License Number State | IL
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